CN106037702A - Biological information processing system, biological information processing device, terminal device, method for generating analysis result information, and biological information processing method - Google Patents

Biological information processing system, biological information processing device, terminal device, method for generating analysis result information, and biological information processing method Download PDF

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Publication number
CN106037702A
CN106037702A CN201610237796.1A CN201610237796A CN106037702A CN 106037702 A CN106037702 A CN 106037702A CN 201610237796 A CN201610237796 A CN 201610237796A CN 106037702 A CN106037702 A CN 106037702A
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China
Prior art keywords
information
pulse
analysis result
display
cacosphyxia
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Pending
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CN201610237796.1A
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Chinese (zh)
Inventor
成泽敦
渡边晋郎
渡边晋一郎
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Seiko Epson Corp
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Seiko Epson Corp
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Priority claimed from JP2015084709A external-priority patent/JP2016202348A/en
Priority claimed from JP2015084708A external-priority patent/JP2016202347A/en
Application filed by Seiko Epson Corp filed Critical Seiko Epson Corp
Publication of CN106037702A publication Critical patent/CN106037702A/en
Pending legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/24Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316Modalities, i.e. specific diagnostic methods
    • A61B5/318Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A61B5/346Analysis of electrocardiograms
    • A61B5/349Detecting specific parameters of the electrocardiograph cycle
    • A61B5/361Detecting fibrillation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/02Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/024Detecting, measuring or recording pulse rate or heart rate
    • A61B5/02405Determining heart rate variability
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/02Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/0205Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/24Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316Modalities, i.e. specific diagnostic methods
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/24Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316Modalities, i.e. specific diagnostic methods
    • A61B5/318Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A61B5/333Recording apparatus specially adapted therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/74Details of notification to user or communication with user or patient ; user input means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/74Details of notification to user or communication with user or patient ; user input means
    • A61B5/742Details of notification to user or communication with user or patient ; user input means using visual displays
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2560/00Constructional details of operational features of apparatus; Accessories for medical measuring apparatus
    • A61B2560/02Operational features
    • A61B2560/0242Operational features adapted to measure environmental factors, e.g. temperature, pollution
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/103Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/11Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb
    • A61B5/1118Determining activity level
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/16Devices for psychotechnics; Testing reaction times ; Devices for evaluating the psychological state
    • A61B5/165Evaluating the state of mind, e.g. depression, anxiety
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/48Other medical applications
    • A61B5/4806Sleep evaluation
    • A61B5/4809Sleep detection, i.e. determining whether a subject is asleep or not
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/68Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6801Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be attached to or worn on the body surface
    • A61B5/6802Sensor mounted on worn items
    • A61B5/681Wristwatch-type devices
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/72Signal processing specially adapted for physiological signals or for diagnostic purposes
    • A61B5/7221Determining signal validity, reliability or quality

Abstract

The invention provides a biological information processing system, a biological information processing device, a terminal device, a method for generating analysis result information, and a biological information processing method that generate and output appropriate analysis result information based on analysis processing using pulse information. The biological information processing system (200) includes an acquisition unit (210) that acquires pulse information, a processing unit (230) that performs analysis processing of the pulse information and generates analysis result information, and an output unit (250) that outputs the generated analysis result information. The processing unit (230) generates the analysis result information for displaying at least one of action information, psychological state information, external environment information and location information of a user while displaying a pulse wave abnormality period detected on the basis of the analysis processing as identifiable.

Description

Biont information processing system, biological information processing unit and termination
Technical field
The present invention relates to Biont information processing system, biological information processing unit, termination, The generation method of analysis result information and Biont information processing method etc..
Background technology
Arrhythmia (the most whole) is widely known by the people as blood circulation diseases.Such as, restrain not as arteries and veins The atrial fibrillation of a neat example, owing to forming clot at heart and having the risk of cerebral infarction, needs to carry out early Phase phase treatment.All the time, the inspection of atrial fibrillation (atrium), it is usually at patient's body Upper 24 hour~48 hours (usually 24 hours) install ambulatory electrocardiogram, from electrocardiogram therebetween Confirm the outbreak of atrial fibrillation.
But, atrial fibrillation frequency of disease development in early days is low, the ambulatory electrocardiogram within using 48 hours Check, miss the atrial fibrillation that symptom occurs once in a while sometimes.And, the atrial fibrillation of silent The imperceptible symptom of patient, therefore, tends not to hospital and seeks medical advice, often (example after aggravation As, after burst cerebral infarction) disease of just knowing oneself as atrial fibrillation.It addition, can not use for a long time Main reason is that of ambulatory electrocardiogram, owing to needs are at the many electrodes of human chest patch, electrode itself And the adhesive plaster being used for pushing down electrode may cause this problem of chafing.And, in recent years, although It can be seen that the ecg scanning device of 40 days situations can be recorded, but the problem of chafing not yet solves, The most long-time use is the most unrealistic.
To this, Patent Document 1 discloses a kind of by obtaining from pulse information accurately quite Parameter the method for seeking atrial fibrillation based on pulse information in RR interval.Pulse information can lead to Cross the pulse transducers such as such as photoelectric sensor to obtain.It is additionally, since the instrument with pulse transducer Can use as such as Wristwatch-type Wearable, therefore, it is possible at suppression chafing etc. can While energy property, dress continuously for a long time.
[citation]
[patent documentation]
Patent documentation 1: Japanese Unexamined Patent Publication 2013-55982 publication
By utilizing pulse information as patent documentation 1 grade, can by device for a long time (such as 3 days to about 10 days) be contained in, accordingly, it is capable to detect in early days atrial fibrillation etc. definitely.
But, although Patent Document 1 discloses the decision method of atrial fibrillation based on pulse information, But for the method suitably showing result of determination to reviewer, there is no and absolutely prove.
Summary of the invention
Several aspects according to the present invention, it is provided that can be raw based on the dissection process of use pulse information Become and export the Biont information processing system of suitable analysis result information, Biont information processes dress Put, the generation method of termination, analysis result information and Biont information processing method etc..
The Biont information processing system that an aspect of of the present present invention relates to includes: obtaining section, obtains pulse Information;Process portion, carries out the dissection process of described pulse information, generates analysis result information;And Output unit, the described analysis result information that output generates, described process portion generates for identifying ground Show and show that the action of user is believed while during the cacosphyxia that described dissection process detects The described parsing of at least one in breath, mental status information, external environmental information and location message Object information.
According to an aspect of the present invention, generate while during identifying ground display pulse exception Show the analysis result information of at least one in various information.Thereby, it is possible to by action message etc. with Display is associated, therefore, during reviewer can be easily to such as cacosphyxia during cacosphyxia The morbidity of corresponding arrhythmia to judge (diagnosis) etc. because carrying out.
And, according to an aspect of the present invention, described process portion can generate for showing that expression is described User is the described analysis result letter of sleep state or the most described action message of the information of waking state Breath.
Thus, can show that expression is in the action message etc. of sleep state or waking state.
And, according to an aspect of the present invention, described process portion can generate and be shown by described action message It is shown as judging that adrenergic type arrhythmia or parasympathetic nervous type arrhythmia are at described arteries and veins The described analysis result information of the information whether shown effect during fighting extremely.
Thus, by demonstrating expression sleep state or the action message of waking state such that it is able to hold Change places carry out arrhythmia morbidity will because of judgement.
And, according to an aspect of the present invention, described process portion can generate for showing described user Stress the described analysis result information of information the most described mental status information.
Thereby, it is possible to display stress information (ス ト レ ス feelings) this mental status information.
And, according to an aspect of the present invention, described process portion can generate for by described psychology shape The display of state information as judgement stress because of arrhythmia during described cacosphyxia whether The described analysis result information of the information of outbreak.
Thus, stress this mental status information of information by display, it is possible to easily carry out arteries and veins and restrain not Neat morbidity will because of judgement.
And, according to an aspect of the present invention, described process portion can generate for displays temperature information, At least one information the most described external environment condition letter in pressure information, outer optical information and ambient sound information The described analysis result information of breath.
In this way, it is possible to show at least one information in various external environmental information.
And, according to an aspect of the present invention, described process portion can generate for by described external rings Environment information shows as judging by which kind of external environment condition as the arrhythmia of main cause in described cacosphyxia The described analysis result information of the information whether period shows effect, described external environmental information includes for sentencing The described temperature information of the arrhythmia of fixed temperature main cause, for judging the arrhythmia of air pressure main cause Described pressure information, for judging the described outer optical information of arrhythmia of outer light main cause and being used for At least one information in the described ambient sound information of the arrhythmia of judgement ambient sound main cause.
Thus, by display external environmental information, it is possible to easily carry out the morbidity main cause of arrhythmia Judgement etc..
And, according to an aspect of the present invention, described temperature information can be the body surface temperature of described user Temperature difference information between degree and outside air temperature.
Thus, by temperature difference information is utilized as temperature information, it is possible to display is for accurately Carry out the information of the judgement of the arrhythmia of temperature main cause.
And, according to an aspect of the present invention, described process portion can generate during showing mensuration Interior at least one information in pulse wave, pulse interval waveform and pulse information spaced apart is made For analysis result information.
Thus, can not only display pulse abnormal during result of determination, also can show the pulse phase of user Pass information etc..
And, according to an aspect of the present invention, described process portion can generate for showing described mensuration The information of the reliability index of the mensuration of the described pulse information in period is believed as described analysis result Breath.
Thereby, it is possible to show reliability index while during display pulse is abnormal.
And, according to an aspect of the present invention, described process portion can generate for showing that expression is described The information of the display object during cacosphyxia is as described analysis result information.
Thus, by utilizing display object, it is possible to will be shown as recognizable during cacosphyxia.
And, according to an aspect of the present invention, described process portion can generate for different images The information of the period beyond during display state shows described cacosphyxia and during described cacosphyxia As described analysis result information.
Thus, by changing image display pattern, it is possible to during identifiably display pulse is abnormal.
And, according to an aspect of the present invention, described process portion can generate for display at described arteries and veins Fight abnormal during in the pulse wave giving interval and the of at least one party in the waveform of pulse interval Two analysis result information.
Thereby, it is possible to utilize the second analysis result information, during display pulse is abnormal in more detailed Information etc..
And, the Biont information processing system that the other side of the present invention relates to includes: obtaining section, Obtain pulse information;Process portion, carries out the dissection process of described pulse information, generates analysis result letter Breath;And display process portion, the display carrying out described analysis result information processes, and described display processes Portion carries out showing that the display of the first picture of described analysis result information processes, and is given user Instruction operation in the case of, carry out showing the prime information that the generation of described analysis result information is used The second picture described display process.
According to other aspects of the invention, carry out showing at the display of the first picture of analysis result information Reason, in the case of the instruction operation that user is given, carries out showing the life of analysis result information The display becoming the second picture of the prime information used processes.Therefore, it is possible to conversion display pulse letter The analysis result information of breath and the prime information of analysis result information.
And, according to the alternate manner of the present invention, described display process portion can at described first picture, As described analysis result information, carry out abnormal the sentencing that can show with identifying for being circulated system Described display during fixed cacosphyxia processes, and at described second picture, carries out display pulse interval Information processes as the described display of described prime information.
In this way, the pulse that reviewer can be read shown by the first picture at the second picture is different The often pulse interval information corresponding to period.
And, according to other aspects of the invention, described display process portion can be to representing described Display object during the described cacosphyxia that first picture shows has carried out being given by described user In the case of described instruction operation, carry out the institute during described second picture shows described cacosphyxia The described display stating pulse interval information processes.
In this way, it is possible to display reviewer thinks the pulse interval letter during the cacosphyxia of reading Breath etc..
And, according to other aspects of the invention, described display process portion can be to representing described Described display object during the described cacosphyxia that first picture shows carried out by described user to In the case of the described instruction operation given, carry out showing in the described cacosphyxia phase at described second picture Between the described display giving interval corresponding described pulse interval information process.
Thus, even if in during cacosphyxia, it is also possible to display user thinks the interval pulse of reading Interval information.
And, according to other aspects of the invention, described process portion can trust based on pulses measure Degree gives interval described in determining.
Thereby, it is possible to the pulse interval letter of the reliability low period during the most display pulse is not measured Breath, and show the pulse interval information etc. of the period that reliability is high.
And, according to other aspects of the invention, described process portion can generate for by different way Period i.e. pulse normal period beyond during showing described cacosphyxia and during described cacosphyxia Information as described analysis result information.
Thus, during reviewer can readily distinguish cacosphyxia and pulse normal period etc..
And, according to other aspects of the invention, the exception of described blood circulation can be arrhythmia.
Thus, cacosphyxia phase when reviewer can easily verify that detected body generation arrhythmia Between and cacosphyxia during pulse interval information.
And, according to other aspects of the invention, described display process portion can resolve knot as described Really information, carries out the index of the reliability of pulse measuring body movement information based on described user tried to achieve Show that the described display at described first picture processes, as described prime information, carry out moving described body Information shows that the described display at described second picture processes.
Thus, during utilizing analysis result information to show multiple cacosphyxia time, it is possible to by reliability Higher, the most doubtful it not noise but user self occurs abnormal period to be preferentially used for diagnosis, thus Diagnosis burden can be alleviated.
And, according to other aspects of the invention, described display process portion can resolve knot as described Really information, carries out Pulse Rate information showing, the described display at described first picture processes, as institute State prime information, carry out pulse wave information showing, the described display at described second picture processes.
Thus, reviewer can be right in the Pulse Rate information institute that the second picture is read shown by the first picture The pulse wave information etc. answered.
And, according to other aspects of the invention, the described instruction operation given includes for described Click (click) operation of one picture, touch operation, touch (tap) and operate, reduce (pinch in) Operation, amplification (pinch out) operate, roll (Scrolling) operation and slide (swipe) At least one operation in operation.
Thus, during reviewer can easily carry out thinking the cacosphyxia of pulse interval information of reading Appointment etc..
And, according to other aspects of the invention, described display process portion can carry out showing every day Total Pulse Rate, the average pulse number of every day, atrial fibrillation morbidity the total ascent time relative to check time Between ratio, the atrial fibrillation of every day morbidity the total ascent time, every day atrial fibrillation morbidity add up to Time occurs in ratio relative to ratio and the atrial fibrillation of appointment time period of described review time At least one information described display process.
Thereby, it is possible to accomplish the information shown when doctor judges, the frequency that i.e. atrial fibrillation occurs Whether rate, atrial fibrillation concentrate on generation etc. in the appointment date.
And, according to other aspects of the invention, described display process portion can be carried out whole inspection The described analysis result information of period or the described analysis result information of specified time limit show described The described display of one picture processes.
Thereby, it is possible to accomplish that reviewer is thought that the analysis result information of the period of reading shows first draws Face etc..
And, according to other aspects of the invention, described display process portion feels arteries and veins described user Mark is shown on the position of described first picture corresponding to the timing that operation during exception of fighting is detected Note.
Thus, doctor can feel the basis of timing of cacosphyxia holding detected body self On, it is made whether it is the judgement etc. of arrhythmia.
And, the biological information processing unit that the other side of the present invention relates to includes: obtaining section, Obtain pulse information;Process portion, carries out the dissection process of described pulse information, generates analysis result letter Breath;And output unit, the described analysis result information that output generates, described process portion generates and is used for Ground can be identified to show while during the cacosphyxia that described dissection process detects and to show user Action message, mental status information, external environmental information and location message at least one Described analysis result information.
And, the termination that the other side of the present invention relates to includes: acceptance division, receives pulse letter The analysis result information of breath;Process portion, the display of the described analysis result information being received processes; And display part, show that described analysis result information, described process portion carry out showing described analysis result The display of the first picture of information processes, and in the case of the instruction operation that user is given, enters The described display of the second picture of the prime information that the generation of the row described analysis result information of display is used Process.
And, the generation method of the analysis result information that the other side of the present invention relates to includes: carry out Obtain the process of pulse information;And carry out the dissection process of described pulse information, generate at energy Identify ground to show while during the cacosphyxia that described dissection process detects and show user's The solution of at least one in action message, mental status information, external environmental information and location message Analysis object information.
And, the Biont information processing method that the other side of the present invention relates to includes: obtain pulse Information;Carry out the dissection process of described pulse information, carry out generating the process of analysis result information;Enter The display of the first picture of the described analysis result information that row display is generated processes;And enter user Go in the case of the instruction operation given, carried out showing that the generation of described analysis result information is used Prime information the second picture described display process.
Accompanying drawing explanation
Fig. 1 is the configuration example of Biont information processing system of the present embodiment.
Fig. 2 is the example of the information shown according to analysis result information.
(C) of (A) of Fig. 3 to Fig. 3 is the action message shown according to analysis result information Example.
Fig. 4 is other example of the information shown according to analysis result information.
(D) of (A) of Fig. 5 to Fig. 5 is other of the information that shows according to analysis result information Example.
Fig. 6 is the explanatory diagram of the process obtaining temperature difference information.
Fig. 7 is other example of the information shown according to analysis result information.
(A) of Fig. 8, (B) of Fig. 8 are other examples of the information shown according to analysis result information Son.
Fig. 9 is other example of the information shown according to analysis result information.
(A) of Figure 10, (B) of Figure 10 are other of the information that shows according to analysis result information Example.
Figure 11 is the example of the information shown according to the second analysis result information.
Figure 12 is other example of the information shown according to the second analysis result information.
Figure 13 is other example of the information shown according to the second analysis result information.
Figure 14 is the example of the analysis report shown according to analysis result information.
Figure 15 is the example of the analysis report shown according to analysis result information.
Figure 16 is the detailed configuration example of Biont information processing system of the present embodiment.
Figure 17 is the configuration example in dissection process portion.
(A) of Figure 18, (B) of Figure 18 are to represent frequency resolution based on ECG P R interval The coordinate diagram of result.
Figure 19 is the flow chart of the flow process that dissection process of the present embodiment is described.
Figure 20 is the explanatory diagram that repeatedly setting judges interval method.
(A) of Figure 21, (B) of Figure 21 are the configuration examples of pulse measuring instrument.
Figure 22 is the configuration example of pulse measuring instrument.
(C) of (A) of Figure 23 to Figure 23 is that pulse measuring instrument and Biont information process system The configuration example of system.
Figure 24 is the example utilizing new display window to show the second analysis result information.
Symbol description
10 ... band portion, 12 ... with holes, 14 ... buckle portion, 15 ... band insertion section, 16 ... jut, 30 ... Shell portion, 32 ... light-emission window portion, 40 ... sensor portion, 100 ... pulse measuring instrument, 110 ... pulse passes Sensor, 200 ... Biont information processing system, 210 ... obtaining section, 220 ... dissection process portion, 221 ... Detection signal storage part, 222 ... body move lower noise process portion, 223 ... pulse interval calculating section, 224 ... Judging index calculating section, 225 ... noise content index calculating section, 226 ... semaphore index calculates Portion, 227 ... interval reliability detection unit, 230 ... process portion, 240 ... analysis result information generation unit, 250 ... output unit (display process portion), 300 ... go out showing device, 400 ... processing means, NE ... net Network.
Detailed description of the invention
Below, present embodiment is illustrated.It addition, present embodiment described below can't Present disclosure described in improper restriction claims, describe in the present embodiment is all Constituting is not as necessary to the solution of the present invention.
1. the method for present embodiment
First, the method for present embodiment is illustrated.Content institute as disclosed in patent documentation 1 Show, it is known that a kind of installation photoelectric sensor (photoelectric sensor) in detected body, acquirement is arrived Pulse signal (photoelectric sphyg signal, pulse signal) resolves, and checks that the arteries and veins such as atrial fibrillation are restrained not Neat method.The inspection of arrhythmia here, is the diagnosis due to doctor and to doubtful arrhythmia Place (period, interval) detect.
This inspection utilizing photoelectric sphyg, compared with the inspection utilizing electrocardiograph, device simplicity is held Easily install, as long as or will be pressed to devices such as Figure 22 wrist-watch described later shapes by (A) of Figure 21 It is pressed on epidermis, there is installation load this advantage little.Accordingly, it is capable to check for a long time, There is the high such advantage of inflammation fact probability that capture irregularly occurs.Survey additionally, be fixed with pulse The position determining device is not limited only to wrist, it is also possible to be finger and other position such as cervical region, ankle.
Such as, as the one of arrhythmia, it is known that atrial fibrillation.So-called atrial fibrillation is atrium convulsion The exception of contraction (partly excitation-contraction), the contraction interval of ventricle becomes irregular.Therefore, blood Flowing become blocking, due to atrial fibrillation long lasting for and easily produce thrombosis, sometimes result in This serious symptom of cerebral infarction, myocardial infarction.
Atrial fibrillation stage frequency of disease development in early days is low, thus it is for example possible to occur three talentes to occur once, And this situation of symptom of atrial fibrillation in several hours only occurs.In this case, it is possible to during morbidity During installation with ambulatory electrocardiogram (Holter) misaligned, thus atrial fibrillation cannot be detected.Right This, easily implement owing to measuring the pulse measuring instrument (biological information processing unit) of pulse information The long-time installation of 3 days to about 10 days, therefore, even if when frequency of disease development is low, also can Enough detect atrial fibrillation.
And, it has been found that atrial fibrillation exists patient and is unable to perceive that the silent atrial fibrillation of symptom Dynamic.In this case, patient is difficult to consideration and accepts atrial fibrillation coherence check energetically, according to circumstances, Likely symptom can develop when not knowing, thus causes the serious symptoms such as cerebral infarction.This In the case of Zhong, if, with pulse information, owing to easily implementing to install for a long time, therefore, have Can easily accept this advantage of examination.
Will be explained below about the method finding arrhythmia (atrial fibrillation) from pulse information, According to the method directly obtain be during whether each process has made cacosphyxia opportunity (whether Doubtful atrial fibrillation) judgement.But, in the reviewer of the analysis result wanting reading atrial fibrillation Apparently, for many-side checking onset state and pathogenic factor, preferably can not only provide the simplest Information, moreover it is possible to more kinds of various information is provided.
Such as, atrial fibrillation is divided into sympathetic nerve dependent form atrial fibrillation (adrenergic type arrhythmia) With vagus nerve dependent form atrial fibrillation (parasympathetic nervous type arrhythmia), there is the former and easily exist Occur between daytime and in activity, the tendency that the latter easily occurs when night and sleep.It is to say, such as Fruit be whether the action message that this result of determination shows user accordingly during cacosphyxia, then When diagnosis is to there occurs atrial fibrillation during this cacosphyxia, can be as differentiating (classification) The clue of the main cause of this atrial fibrillation utilizes.Due to sympathetic nerve dependent form atrial fibrillation and fan Walk the effective agent difference that neural dependent form atrial fibrillation is suitable for, therefore, if can suitably classify, Then the most very useful to the aspect such as determination for the treatment of policy.
And, the most also there is the main cause of various arrhythmia, therefore, show and differentiate these The information of factor is useful.When using original ambulatory electrocardiogram to check, the method for employing It is to allow patient fill in action notes in some way.Action notes are that user's self record is when which Between section carried out which action notes, can by the way of being recorded on paper by user system Make, it is also possible to made by the operating portion possessed by user operation ambulatory electrocardiogram etc..From now on, The mode that possible user utilizes the smart mobile phone being had etc. to make action notes can be popularized.But whether How, original method makes premised on action notes on one's own initiative by user self, and the burden of user is big, Actually have also discovered the example not making action notes.
The applicant is in view of the burden of this user, it is proposed that obtain from the equipment such as various sensors Information, based on the information obtained, makes and shows the technology of information for differentiating arrhythmia main cause Method.In this way, it is possible to automatically making is equivalent to the action notes of original technical method Information, and in the way of understandable, made information can be presented to reviewer (doctor).It addition, Present embodiment and original technical method are same, have no effect on user and carry out the making of action notes.This In the case of Zhong, the information obtained from the equipment such as sensor can make as the information of supplemental action notes With.
Specifically, as it is shown in figure 1, Biont information processing system 200 of the present embodiment Including: obtain the obtaining section 210 of pulse information, carry out the dissection process of pulse information and generate parsing The output unit 250 of the analysis result information that the process portion 230 of object information and output are generated. And, process portion 230 generates for identifiably showing the pulse detected based on analysis result The action message of user, mental status information, external environmental information and institute is shown while during exception The analysis result information of at least one in positional information.
Here, so-called pulse information is the letter of the pulse representing user (detected body, experimenter) Breath, specifically, is the letter of the output of pulse transducer (photoelectric sensor) based on user installation Breath.It is to detect that from pulse information be normal condition different (abnormality) during so-called cacosphyxia Period, as an example, as described later, be the period that deviation that pulse is spaced is big to be detected.Pulse is different Often the details of the detection method of period will be explained below.
Additionally, process portion 230 can also generate in order to will be used for the blood circulation being measured in period Abnormality judgement cacosphyxia during the analysis result information that identifiably shows.Namely Say, can also be to indicate whether as the blood circulation letter having abnormal period under a cloud during cacosphyxia Breath.And, the abnormality of blood circulation can be arrhythmia.
In the pulse transducers such as photoelectric sensor, it is possible to detect the change of blood flow in such as blood vessel Deng.It is to say, from the analysis result of pulse information, following centered by vascular system can be detected The exception of loop systems, according to analysis result information of the present embodiment, it is possible to understandablely to reading Person shows the abnormality of blood circulation.And, by using the information such as Pulse Rate and pulse interval, Whether the blood vessel that can also carry out user is the judgement of normal condition, therefore, it is possible to arrhythmia be Object is as the abnormality of blood circulation.Below, it is assumed that be for carrying out arteries and veins rule during cacosphyxia The period of uneven judgement, illustrate with this.As described later, the arrhythmia of present embodiment, It is atrial fibrillation in the narrow sense.
The action message of user is the information of the action representing user, such as, is the activity differentiating user Classification, the information of activity.As the class of activity, there is the classification such as sleep state, waking state.And And, can category setting be obtained in more detail, as waking state being divided into rest state and kinestate, Kinestate is sub-divided into walking, running etc..And, as activity information, it is possible to use disappear Heat consumption, oxygen uptake, it is also possible to utilize the body movement of the policy guidance representing MHLW The metabolic equivalent of intensity.Several times when metabolic equivalent is to be equivalent to peace and quiet represent body movement intensity Information.
The mental status information of user is the information of the mental activity representing user, such as, is to represent use The desired value of the degree of the psychological stress that family is felt.The external environmental information of user represents user The information of the state of outside (around) environment, as described later, including temperature, air pressure, outer light, sound The various information such as sound.The residence information of user is to represent the information that user place (existence) is local.Institute Such as can show as the absolute value that make use of Latitude-Longitude etc. at positional information, but be not limited only to This, it is also possible to it is the information of abstract.Such as, position information can be " oneself ", " work Place ", " station ", " recreational facilities " etc. represent the information of attribute of user position point.
In this way, it is possible to while the testing result during display pulse is abnormal, it is right to show Differentiate the various information that the main cause of arrhythmia is useful.Therefore, during doctor is with reference to cacosphyxia The information such as details, when diagnosis there occurs arrhythmia during this cacosphyxia, it is possible to easily Carry out the deduction etc. of the main cause of this arrhythmia.
Specifically, process portion 230 can generate for representing that user is sleep state or clear-headed shape This analysis result information being used for representing action message of the information of state.Here action message, i.e. table Show that user is sleep state or the information of waking state is for judging adrenergic type arrhythmia Or the information whether parasympathetic nervous type arrhythmia shows effect during cacosphyxia.
And, process portion 230 can also generate stress this mental status of information for represent user The analysis result information of information.Here mental status information, i.e. user's stress information be for sentencing Determine the information whether irritability arrhythmia shows effect during cacosphyxia.
The stress that known users is felt is closely related with arrhythmia.Therefore, if it is decided that arteries and veins Restrain the uneven stress that results from, then by eliminating the main cause of this stress, arrhythmia it is possible to Take a turn for the better.Here mental status information, for narrow sense, is that the psychological stress to user shows Information, for example, as the information of the degree (size) representing psychological stress.
And, process portion 230 is when generating the analysis result information for representing action message, permissible This action information is obtained based on pulse information.Additionally, generating the solution for representing mental status information During analysis object information, this mental status information can be obtained based on pulse information.In this way, Action message, mental status information can be obtained from pulse information.For obtaining from pulse information The method of various information, will be explained below.
And, process portion 230 can generate for represent temperature information, pressure information, outer optical information, And the analysis result information of at least one this external environmental information of information in ambient sound information. Here temperature information could be for the information of the arrhythmia that judgement temperature main cause causes.Air pressure is believed Breath could be for the information of the arrhythmia that judgement air pressure main cause causes.Outer optical information could be for Judge the information of the arrhythmia that outer light main cause causes.Ambient sound information could be for judging around The information of the arrhythmia that sound main cause causes.And, external environmental information, i.e. temperature here are believed At least one information in breath, pressure information, outer optical information and ambient sound information is for what judges Planting external environment condition is the information whether arrhythmia that main cause causes shows effect during cacosphyxia.
Temperature information is the information obtained by the temperature sensor included by such as pulse measuring instrument, For Yan Ge, represent the temperature within device being provided with temperature sensor.In present embodiment, also Can be by the temperature within this device as temperature information.But temperature information is not limited only to this, it is also possible to It is the shell temperature temperature difference information with outside air temperature of user.The shell temperature of user represents user's The temperature of skin in body temperature, specifically, the temperature of the position corresponding to skin surface.Additionally, outward Portion's temperature represents the atmospheric temperature of the outside (around) of user.It addition, such as utilize the aftermentioned institute of Fig. 6 Show, by using the temperature within multiple devices, it is possible to inferred shell temperature by the temperature within device And outside air temperature.It is to say, shell temperature and outside air temperature here are not limited only to measured directly Shell temperature and outside air temperature itself, it is also possible to be judged to corresponding with shell temperature and outside air temperature Temperature.
And, so-called pressure information is the information representing the air pressure acting on user, or represents The information of the air pressure of user's local environment.Such as, pulse measuring instrument includes baroceptor (pressure Sensor), output based on this sensor can obtain pressure information.If it is known because transferring to platform The position of the bad weathers such as wind and the position of height above sea level and air pressure step-down, health status can be disliked the most sometimes Change.It is to say, the change of air pressure (narrow sense refers to reduce) can bring burden, Ke Nengcheng to user Main cause for arrhythmia.Therefore, relevant to pressure information during cacosphyxia by inquiry Property, the judgement causing the main cause of arrhythmia whether to be air pressure can be carried out.
And, so-called outer optical information is the information of the state representing the light around user.Due to quilt Irradiating too strong light or the light of flicker or the light of designated color, user may feel headache and dizziness Dizzy such uncomfortable, light is likely to become the main cause of arrhythmia.Here outer optical information, Preferably information to the light that user is irradiated ideally, but reality can be to being arranged on user The information of light irradiated of pulse measuring instrument.Specifically, pulse measuring instrument has illumination sensing Device, can output based on this illumination induction apparatus and obtain outer optical information.Or, it is also possible to based on extensively The output of the imaging apparatus (photoelectric sensor) of the photographing unit of general use and obtain outer optical information.
And, ambient sound information is the information of the sound around user.It is known that noise can be given Health brings harm, even if the intensity of sound (such as dB value) is little, it is intended that the sound of frequency band is also Unplessantness displeasure, sound can be brought to be likely to become the main cause of arrhythmia to people.Here ambient sound letter Breath, the most preferably incides the information of sound wave in user's ear, but can also be to pass through in reality It is arranged on the information of the sound wave that the pulse measuring instrument with user detects.Specifically, pulse is surveyed Determine device and there is the collection sound sensor such as mike, can output based on this mike etc. and obtain around Acoustic information.
And, it is above being mounted with the mode of the sensor obtaining various information at pulse measuring instrument, But it is not limited only to this, it is also possible to be to be obtained by Biont information processing system 200 to be taken by miscellaneous equipment The mode of the information obtained.For example, it may be the mobile communication terminal such as smart mobile phone used user The above-mentioned various sensors of upper loading, obtain the mode of corresponding information.
And, process portion 230 can generate during showing mensuration in pulse wave, between pulse The information of at least one in waveform and pulse information spaced apart is as analysis result information.
Here, so-called pulse wave is the waveform of pulse information, e.g. represents the sequential of pulse information The waveform of change.Specifically, pulse wave can be to represent the AC composition that pulse transducer exports Waveform.So-called pulse interval waveform is the waveform of the timing variations representing that pulse is spaced.Pulse is spaced It is to represent the interlude (such as, unit is msec) that the one of pulse is clapped.Such as, its with It it is pulse interval=(1000 × 60)/Pulse Rate between widely used Pulse Rate (unit is rpm) Relation.
So-called pulse information spaced apart is the information of the deviation representing that pulse is spaced.As entered by Fig. 2 Row aftermentioned shown in, pulse information spaced apart can be the first axle be time shaft, based on pulse be spaced Value on the second axle by the information of pictorialization.
And, process portion 230 can generate during showing mensuration in the mensuration of pulse information The information of reliability index is as analysis result information.
Here, reliability index is to represent that pulses measure can allow people trust the information of what degree. Reliability index is for example numerical information, can be that numerical value is the biggest more can trust (reliability High), numerical value is the least more can not trust the index of (reliability is low), it is also possible to otherwise.Or, can Being the highest closer to the numerical value reliability given, the occurrence of reliability index and reliability height Between relation can implement various deformation.Such as, in the A3 of Fig. 2 described later, due to will be based on The information of the actual effect semaphore of acceleration information is as reliability index, and therefore, numerical value is the most dynamic makes an uproar Sound is the biggest, reliability then step-down.On the other hand, in Fig. 7 described later, assume that numerical value is the biggest Reliability is the highest.
Here reliability index can be the installment state letter of body movement information based on user and user The information of at least one party of breath.So-called information based on body movement signal, can be body movement signal itself, Can also be the information obtained as body movement signal having been carried out the result after some processes.So-called Information based on installment state information, can be installment state information itself, it is also possible to be as to peace The information that dress status information has carried out the result after some processes and obtained.So-called installment state information, Can be the information of the installment state representing the measurement apparatus being arranged on user's body.Here measurement Device, for example is by (A) of Figure 21 to Figure 22 pulse measuring instrument described later 100.As logical Cross (A) of Figure 23 and carry out aftermentioned to (C) etc. of Figure 23, life of the present embodiment Object information processing system 200 can be realized by devices such as server systems, it is also possible to passes through pulse Determinator 100 realizes.It is to say, measurement apparatus here, can be to represent and include biology Body information processing system 200 is at the different device of interior device, it is also possible to be to represent to include that organism is believed Breath processing system 200 is at interior device.
And, process portion 230 can generate for showing the display object (figure represented during cacosphyxia Mark, labelling) information, as analysis result information.
And, process portion 230 can generate for abnormal with different image display pattern display pulses The information of the period beyond during period and cacosphyxia, as analysis result information.
The object lesson of different image display patterns has multiple, and such as pass behind that Fig. 2 made retouches State, also point can be expressed as different shapes.According to Fig. 2, during cacosphyxia, use cross The point of shape, during cacosphyxia beyond period, use the circular point of blacking.Or, Period during cacosphyxia and in addition changes the color of point, and changes size.Can also change Become this deformation of background colour.Additionally, although difficulty realizes when printing resolves report, but to filling When the display part put shows, can show a little with going out and background etc. by one bright one, change image Display mode.
And, process portion 230 can generate and give interval arteries and veins in display pulse is during abnormal The second analysis result information of at least one party fought in waveform and pulse interval waveform.
Additionally, also create other problem utilizing pulse information and occur.In particular, it is desirable to from In long-time data, report is beneficial to the information of diagnosis rapidly effectively.It is as noted previously, as pulse information Being acquisition in 3 days to about 10 days, therefore, quantity of information becomes the hugest.Therefore, if measured This arteries and veins of waveform of gamut the display details, such as pulse information of period (during inspection) Fight waveform, then the reading burden of doctor can increase the weight of.It is therefore preferable that in Biont information processing system one Side carries out the dissection process of pulse information (such as, if find that pulse information has at abnormal judgement Reason), and show the summary info that make use of this result.
But, arrhythmia should be diagnosed by doctor, only shows and processes system based on Biont information The result of determination of system is inappropriate.In other words, the output of Biont information processing system (resolves report Accuse) must also show and be sufficient for doctor and be made whether the information of the diagnosis into arrhythmia.Particularly The impact of body moving noise etc. so that the precision of pulse information is less than using Electrocardiographic precision, therefore, It is highly desirable to whether a kind of picture the testing result for confirming cacosphyxia that system carries out such as shows Properly.
It is to say, Biont information processing system needs generate and export to meet what two aspects required Information, i.e. doctor are wanted to avoid to read all this first requirements of huge data and can read permissible This second requirement of details of diagnosis arrhythmia.
Therefore, present applicant has proposed following such Biont information processing system 200.Concrete and Speech, the Biont information processing system 200 of present embodiment includes: obtain the obtaining section of pulse information 210, carry out the dissection process of pulse information and carry out generating the process portion of the process of analysis result information 230 and carry out analysis result information display process display process portion (output unit 250).
And, display process portion carries out showing that the display of the first picture of analysis result information processes, when After the instruction operation that user's (reviewer) is given, carry out showing the generation of analysis result information The display of the second picture of the prime information used processes.
And, the arrhythmia of present embodiment is atrial fibrillation, can be basis during cacosphyxia The dissection process of the pulse information that process portion 230 is carried out and judge there occurs the period of arrhythmia. On electrocardiogram, when heart normally clap by pollex one, it may appear that P ripple, Q ripple, R ripple, S ripple Etc. the waveform of various features, therefore, by being conceived to the difference of this normal waveform and measured waveform, Various arrhythmias are diagnosed.To this, it is the change of the blood flow of detection pulse due to pulse signal The signal changed, therefore, pulse wave will not become shape as electrocardiogram.Therefore, pulse is utilized The method of information, be the method detecting multiple arrhythmia, not equal to become to be exclusively used in based on Pulse is spaced, the method for the process of Pulse Rate, and when itself and morbidity, the deviation at pulse interval becomes big atrium Affinity between the detection of vibration processes is high.Therefore, illustrate as a example by atrial fibrillation below. But, as the arrhythmia of present embodiment, it is not exposed to the arrhythmia beyond with atrial fibrillation (such as premature contraction etc.) are the obstruction of object.
And, the first picture is the picture shown in Fig. 7 the most described later.The first picture shown in Fig. 7, It is both the picture showing the first analysis result information described later, is such as to show doubtful to there occurs atrial fibrillation Move the picture of the Pulse Rate during waiting the cacosphyxia of arrhythmia and body movement information etc..Display is existed The object lesson of the information of the first picture, will be described in detail later.
On the other hand, the second picture is the picture shown in Figure 11 to Figure 13 the most described later.Figure 11 To the second picture shown in Figure 13, it is both the picture showing the second analysis result information described later.The Prime information (part) when two analysis result information are to generate the first analysis result information.
It is to say, according to present embodiment, the i.e. doctor et al. of reviewer reads the first picture, identifies During the doubtful cacosphyxia that there occurs atrial fibrillation etc..Further, during suggested cacosphyxia, Doctor is for judging whether really to there occurs atrial fibrillation etc., and the instruction giving the first picture is grasped Make.Such as, at the first picture, the view data (pulse wave) during representing cacosphyxia is carried out Touch operation.Then, corresponding to view data the after the instruction operation given is demonstrated Two pictures.As it has been described above, the second picture shows the prime information generating analysis result signal, i.e., Pulse wave data and pulse interval information, acceleration signal etc..
So, according to present embodiment, it is possible to analysis result information and the parsing knot to pulse information Really the prime information of information carries out conversion display.To this end, needed for doctor only confirms the diagnosis of arrhythmia Therefore all pulse waves etc. obtained, need to be resolved by the information such as pulse wave with doctor Method compare, it is possible to alleviate the burden of doctor.
It addition, it can be to generate for showing the first picture or the view data of the second picture that display processes Process, it is also possible to be that instruction shows the first picture or the process of the second picture to display device.
And, display process portion at the first picture shown in Fig. 7 the most described later, carry out by be used for into It is shown as recognizable using as analysis result during the cacosphyxia of the abnormal judgement of row blood circulation The display of information processes.And, display process portion at the second picture shown in Figure 11 the most described later, Carry out the display process as prime information of the display pulse interval information.
Thus, reviewer can be in second picture reading display institute during the cacosphyxia of the first picture Corresponding pulse interval information.
Here, the abnormal e.g. arrhythmia of blood circulation.Therefore, reviewer can be easily Arteries and veins during confirming cacosphyxia when detected body there occurs arrhythmia and during cacosphyxia Fight interval information.
And, display process portion is carried out in the first picture display pulse number information as analysis result information Display process, it is also possible to carry out in the second picture display pulse shape information as the display of prime information Process.
Thus, reviewer can be right in the Pulse Rate information institute of the first picture in the second picture reading display The pulse wave information answered.
And, when comparing with utilizing Electrocardiographic measurement, as it has been described above, in the measurement of pulse information, The impact that body moves the noises such as noise is big.Specifically, in the parsing of photoelectric sphyg signal, by body In the case of the impact of dynamic noise, although can be processed by various noise removings and carry out pulse analytical Revise, but correcting process completely can not be obtained, the letter of the analysis result of pulse signal between Lai Du can reduce.Additionally, in the case of Rig up error, the amplitude of pulse signal declines, and equally can There is the problem that reliability reduces.
Therefore, in Biont information processing system 200, even if judging that pulse information is as abnormal (detection During going out cacosphyxia), this judgement is it could also be possible that mistake.From the perspective of doctor, even if During can be according to analysis result information identification cacosphyxia, during each cacosphyxia, it is also necessary to careful Heavily discussing is that the result that user's arrhythmia shows effect causes pulse information to occur in that exception, or user is originally Body is normal but causes pulse information to occur in that exception due to the impact of noise, so that doctor's is negative Carry on a shoulder pole the biggest.
Therefore, display process portion carries out showing, at the first picture, the arteries and veins that body movement information based on user is tried to achieve Fighting the index of reliability measured, the display as analysis result information processes, and carries out the Two picture display body movement information, the display as prime information processes.
In this way, when showing according to analysis result information during multiple cacosphyxia, it is possible to Reliability is higher, it not the most that noise is caused but doubtful user self there occurs that abnormal period is preferential For diagnosing such that it is able to alleviate diagnosis burden.
It addition, in following this specification, the embodiment that reliability index is used for display is entered Row explanation, but reliability index not necessarily will show, it is also possible to it is to use Biont information in inside The mode of processing system 200.In this case, show at the prime information as analysis result information When going out detailed information, the preferential display higher information of reliability.In this way, even if Not showing reliability index itself, doctor also is able to preferentially to read the high information of reliability.Certainly, as Waited in explanation below by Figure 15, it is also possible to display reliability index, and preferentially show reliability High information.
2. the object lesson of analysis result information
The details of the analysis result information of present embodiment are illustrated.It addition, the following is with based on Illustrating as a example by the display picture of analysis result information, analysis result information can be image information basis Body, it is also possible to be the out of Memory that can generate image information.Additionally, following picture is not limited only at electricity Display on the display part of subset etc., it is also possible to be printed upon on the media such as paper medium.
It addition, the first half section of the making as analysis result information, by obtaining pulse information, body moves Information and above-mentioned each information carry out showing required information, and according to these information with the first frequency Rate (such as 1 second 1 time) try to achieve pulse interval, with second frequency (such as, 20 seconds 1 time, according to Situation can also be identical with first frequency) try to achieve be whether the result of determination during cacosphyxia and The mode of the reliability index of pulses measure carries out description below.For obtaining the process of each information Details, illustrate together with system configuration example later.
The picture example of 2.1 display action message
Such as, as be described hereinafter shown in the Full wave shape of Figure 15, if display pulse ripple during whole measurement Shape, pulse interval waveform, then can show the information under atrial fibrillation morbidity state in exhaustive ground.So And, Figure 15 only shows the small part in Full wave shape, if reading whole numbers of 3 to 10 days According to, then the burden of doctor is the biggest.Even if extracting the reading of a part of integration stress out, if only showing all-wave Which part is shape, extract out preferably actually, there is no how many clues, finally have to be forced to enter all data Row checks.
That is, it is desirable to the analysis result information of present embodiment can show in the way of guide look property is high Between longer-term (during narrow sense refers to whole measurement) in data, and can by should be used as emphasis reading right The part of elephant is presented to doctor understandablely.Therefore, in present embodiment, it is used for as it has been described above, generate It is shown as discernible first analysis result information during cacosphyxia in during measuring.
Utilize the first analysis result information, the object lesson of shown display picture is shown at Fig. 2. Additionally, Fig. 2 is shown as discernible during by the cacosphyxia being used for carrying out the judgement of arrhythmia Also it is the object lesson of the display picture of the action message showing user simultaneously.Fig. 2 is divided into four row and shows Information, the horizontal axis representing time of each row, the most up 12:00, represent and give the 12: 00 of day Point (or during measuring begin to pass through 12 hours 00/rear).It is to say, in Fig. 2, A line represents that the data of 1 hour, whole Fig. 2 can show the letter in 4 hours these longer-terms Breath.
At Fig. 2, utilize the bottom of each row, the timing variations chart that pulse is spaced is turned to a little.Specifically For, the longitudinal axis of Fig. 2 be by the value at the pulse interval of the timing that gives to the pulse before 1 timing between Every the ratio of value carry out the axle after logarithmic display.It is to say, when at the position (figure that the longitudinal axis is 0 The centre position of the longitudinal axis in 2) by point diagram time, the pulse interval of this timing becomes and above one The pulse interval of individual timing is identical.Get over point diagram in the position close to 0 it is to say, formed, The variation at pulse interval is the least, and more there is deviation pictorialization position, represents that the variation at pulse interval is the biggest Coordinate diagram.It is to say, it represents pulse information spaced apart.
It addition, " pictorialization " here be be given defined by the set of multiple values information, with And a value corresponding to the space of a point (position) time, corresponding to this set is comprised each It is worth the process of configuration (show) corresponding with this space.If the example of Fig. 2, it is simply that will time The set configuration of the rate information at one-dimensional value (invariant) this pulse interval obtained in sequence is right Should process on the position of y direction.Or it is also assumed that Fig. 2 is (rate information, to take The time) set configuration of value (Quadratic Finite Element vector) of this two dimension is by time shaft and rate information The process in the Quadratic Finite Element space (plane) that axle is constituted.
In the example of Fig. 2, pulse interval distributed intelligence be the first axle be time shaft, based between pulse Every value on the second axle by the information of pictorialization.In the example of Fig. 2, the first axle is transverse axis, second Axle is the longitudinal axis.Additionally, as it has been described above, the value that is spaced based on pulse of what is called, before 1 timing The logarithm of the ratio at pulse interval.
So, by utilizing the ratio before 1 timing so that deviation is the least, then the point of pictorialization More concentrating on the position of the value (being 0 here) given, deviation is the biggest, then can be dispersed in vast Scope.That is, owing to the collection scattered timing variations of neutralization of the point of pictorialization can be shown, therefore, Reviewer can easily carry out the diagnosis of arrhythmia.
Here, the character that the value that pulse is spaced has the state according to user (patient) and changes. Such as, if user is in sleep state or rest state, then pulse interval is elongated, if the fortune of being in Dynamic state, then pulse interval shortens.Even if the value at pulse interval is owing to proceeding to motion shape from sleep state State and change, this is also normal reaction, rather than caused by arrhythmia.It is to say, pulse interval Deviation can include two aspects, i.e. user state variation caused (unrelated with arrhythmia), And arrhythmia causes.After the own pictorialization of value that pulse is spaced, it will demonstrate two aspect masters Because of caused deviation, if display is to the ratio before 1 timing, then the change of longer-term can be suppressed The impact of the deviation caused by state variation of this user.
In consideration of it, in the example in figure 2, the distributed intelligence at pulse interval be the first axle be upper State time shaft, at the pulse interval of the second timing, the rate information at the pulse interval in the first timing is existed By the information of pictorialization on second axle.But, as long as owing to the variation of the state of user can be suppressed to cause Deviation, therefore, the value of the second axle is not limited only to rate information.Such as, the distribution at pulse interval Information can also be the first axle be above-mentioned time shaft, second timing pulse interval to first timing Pulse interval difference information on the second axle by the information of pictorialization.It addition, rate information, difference Point information can be ratio itself, difference itself respectively, can be the information obtained by ratio and difference, Can also be the information corresponding to ratio and difference.
And, the first timing (timing) and the second timing are the acquirement (calculating) at pulse interval respectively Time, or the time determined based on obtaining timing, as an example, as being pulse described later interval Calculate in interval timing (such as representing the timing of terminal).It is as noted previously, as ratio letter Breath and difference information allow for showing the information of the change degree at pulse interval clear and easy to understandly, because of This, for narrow sense, the first timing and the second timing are adjacent timings.
In the example in figure 2, before the timing shown in A1, stable almost by the point of pictorialization Close to the position of 0, this information if doctor reads, it is possible to diagnose, during this period, arrhythmia does not occurs. Or, during this period, even if the judgement carried out by Judging index calculating section 224 described later, also can During being judged to not be cacosphyxia.It addition, as shown in A2 etc., it appeared that pulse is spaced 1 The big this point of variation before individual timing, but also have the deviation of this degree due to normal users, the most also Do not become problem.
On the other hand, after the timing shown in A1, big by the some deviation of pictorialization, from this deviation In do not find regularity.Therefore, doctors suspect arrhythmia is in outbreak during this period.Or, this phase Between be judged as during judgement based on Judging index calculating section 224 described later is cacosphyxia.
Above, the impact of the variation that the pulse in order to suppress non-arrhythmia to cause is spaced is utilized ratio The method of rate information etc. is illustrated.But, due to the change at the pulse interval that non-arrhythmia causes Dynamic is also the important information of the pulse state representing user, and therefore, it is useful for being presented to doctor. That is, it is also possible to fully take into account the pulse interval that a kind of state variation simultaneously showing user causes Variation (and arrhythmia is unrelated) and the enforcement of deviation at pulse interval that causes of arrhythmia Mode.
By utilizing the rate information and difference information that pulse is spaced, it is possible to suppress unrelated with arrhythmia The impact of variation at pulse interval, in other words, utilizing rate information etc. when, in display Become to be difficult to that the variation that the pulse that state based on user variation causes is spaced occurs.It is to say, such as Fruit is want while usage rate information etc., moreover it is possible to show the pulse that state based on user variation causes The variation at interval, then the timing variations that the most additionally display pulse number and pulse are spaced.
Or, as the value being spaced based on pulse, it is possible to use the value at pulse interval itself.As above Described, owing to the value at pulse interval itself comprises change and the arteries and veins that state based on user variation causes Restrain uneven deviation two aspect caused, therefore, by the value utilizing pulse to be spaced, it is possible to show simultaneously These two aspects.That is, used " based between pulse during the distributed intelligence at so-called display pulse interval Every value ", can be pulse interval value itself, it is also possible to be rate information and difference information, energy Enough carry out various deformation.
As it has been described above, by the display shown in Fig. 2, reviewer can be from the deviation by the point of pictorialization Degree, infers whether atrial fibrillation shows effect.But according to present embodiment, it is possible to use organism is believed During breath processing system 200 determines whether cacosphyxia, and with more clear and easy to understand (visibility is high) Mode show this result of determination.
Specifically, process portion 230 generates for abnormal with different image display pattern display pulses The information of the period beyond during period and cacosphyxia, as analysis result information.Different The object lesson of image display pattern has multiple, the most as shown in Figure 2, can make shape a little not With.In fig. 2, during cacosphyxia, use cross shape point, during cacosphyxia with Outer period, use the circular point of blacking.
As it has been described above, if, with the period beyond during cacosphyxia and during cacosphyxia Change image display pattern, then by this image display pattern (here for the shape of point), it is possible to hold During whether difference of changing places is cacosphyxia such that it is able to alleviate the burden of doctor.As a example by Fig. 2, Owing to can easily understand that after the timing of A1, before 16:00, at least there is atrial fibrillation The probability this point of morbidity, therefore, doctor can make carrying out detailed data for object during this period This judgement of reading.Additionally, as the change of image display pattern, it is also possible to implement such as at arteries and veins Period during fighting extremely and beyond it changes the color of point, the size of change, changes background colour etc. Various deformation.Although when printing resolves report, difficulty realizes, but is carrying out the display part giving device During display, it is also possible to by point and background etc. are carried out flickering display, change image display pattern.
And, in fig. 2, utilize the top (A7) of each row show user action message time Sequence changes.Here action message, be represent user sleep state, rest state, walking states, The class of activity information of any one state in running state.Additionally, due to suppose the activity of each state Amount is sleep state < rest state < walking states < running state, therefore, as in figure 2 it is shown, logical Cross and according to the order of the size of the activity corresponding to the class of activity, state is arranged at y direction Row so that the action message of Fig. 2 is also provided with this one side of activity information.
It addition, action message (class of activity information) here such as can be tried to achieve according to pulse information. Specifically, owing to the activity of known users is the most active, Pulse Rate is the highest, therefore, it is possible to according to arteries and veins The comparison process etc. counted and give between threshold value of fighting judges the class of activity.As an example, can carry out such as When Pulse Rate is then sleep state below first threshold, bigger than first threshold and below Second Threshold It it is then the such judgement of rest state.Here rest state is waking state, represents that body moves few shape State, therefore, when utilizing the body movement information such as acceleration information, is sometimes difficult to identify itself and sleep state Difference.In this, also reflects the inside of the user externally loseed due to pulse information Activity and ergasia, therefore, it is possible to accurately judge sleep state and rest state.Additionally, also Such to LF, HF described later autonomic nerve action message can be used for the judgement of the class of activity.Or Person, it is also possible to utilize pulse information and body movement information two aspect to judge the class of activity.Additionally, it is possible to To be configured to generally be divided into by the class of activity kinestate, daily life state and sleep state Such classification.The action of user judges, it is known to various methods, also includes utilizing pulse information Including method, these methods can be used widely by present embodiment.
In this way, it is possible to the testing result during cacosphyxia is associatedly shown with action message Show, such as, when arrhythmia outbreak during cacosphyxia, it is possible to differentiate that this arrhythmia is to hand over Sense nervous system type or parasympathetic nervous type.Owing to parasympathetic nervous is preponderated in a sleep state, therefore, If it is determined that (or before and after it) is in sleep state during cacosphyxia, then can speculate that arteries and veins is restrained not Neat is parasympathetic nervous type.On the other hand, owing under waking state, sympathetic nerve is preponderated, if Judge that (or before and after it) is in waking state during cacosphyxia, then can speculate that arrhythmia is Adrenergic type.
If the example of Fig. 2, owing to corresponding to waking state during the cacosphyxia of this scope, because of This can deduce is the arrhythmia of adrenergic type.And, when the information of more long span of having read Time, during finding other cacosphyxia, such as also correspond to waking state, and do not occur corresponding to During dormant cacosphyxia (or with corresponding to compared with during the cacosphyxia of waking state, secondary Number is few, and period is short) time, it is also possible to it is judged to be likely to the arrhythmia of adrenergic type.
And, at the A7 of Fig. 2, as shown in (A) of Fig. 3, have employed and with the class of activity be The longitudinal axis, the coordinate diagram with time shaft as transverse axis, but the display of the class of activity is not limited only to this.Such as scheme As shown in (B) of 3, it is also possible to along the display object that time shaft show bar is block, according to The class of activity changes the color (or pattern) of stick.Or, as shown in (C) of Fig. 3, it is also possible to The icon of the class of activity is represented along time shaft display.In this case, such as, at the A7 of Fig. 2 On shown position, do not carry out the display of (A) of Fig. 3, and carry out (B) and Fig. 3 of Fig. 3 The display of (C).Additionally, the display of action message, it is also possible to implement (A) of Fig. 3 Deformation beyond (C) of Fig. 3, as changed the lines kind of coordinate diagram, line according to the class of activity The color etc. of bar.
And, as shown in A3, A5 of Fig. 2, it is also possible to be shown as during by cacosphyxia The while of discernible, demonstrate reliability index.Here reliability index is that body based on user moves The information of at least one party in the installment state information of information and user.Here, so-called based on the dynamic letter of body The information of breath, can be body movement information itself, it is also possible to be to have carried out at some as to body movement information Result after reason and the information that obtains.So-called information based on installment state information, can be to install shape State information itself, it is also possible to be to have obtained as installment state information having been carried out the result after some processes The information arrived.Additionally, installment state information, it is also possible to be to represent the measurement dress being arranged on user The information of the installment state put.Here measurement apparatus, for example is by (A) of Figure 21 to figure 22 pulse measuring instruments 100 described later.As (C) of (A) to Figure 23 of utilizing Figure 23 etc. enters That goes is aftermentioned shown, Biont information processing system 200 of the present embodiment, it is possible to use clothes The devices such as business device system realize, it is also possible to utilize pulse measuring instrument 100 to realize.That is, here Measurement apparatus, can be to represent different from the device including Biont information processing system 200 Device, it is also possible to be to represent the device including Biont information processing system 200.
The A3 of Fig. 2 is the curve of the timing variations representing that body moves the relevant reliability index of noise, vertical Axle represents that body moves the size of noise.Here, the upward direction of the longitudinal axis represents that body moves noise greatly, downwards It is little that direction represents that body moves noise.Specifically, the actual effect semaphore of employing body movement information etc. are as trusting Degree index.
Thus, when curve values big (being positioned at longitudinal axis upward direction) of A3, it is possible to clear and easy to understandly Show body and move noise greatly, measurement reliability this situation low of pulse information.Therefore, shown in A4 Period, it is possible to allow doctor judge as follows, it may be assumed that to carry out in Biont information processing system 200 The judgement during cacosphyxia, but can not negate pulse therein interval deviation be likely to be based on Body moves the deviation of noise.By display reliability index, when the distributed intelligence at pulse interval occurs big inclined During difference, doctor can easily carry out being due to arrhythmia, also be due to the judgement of noise. And, it is possible to all put on an equal footing according to reliability discriminatory rather than to during all cacosphyxias, It is thus possible to alleviate the burden of doctor further.
And, the A5 of Fig. 2 is information based on installment state information, specifically, with longitudinal axis table Show the virtual value (virtual value of the amplitude of pulse wave) of pulse signal.Thus, A5's During curve values little (being positioned at longitudinal axis position in downward direction), it is possible to show due to signal electricity clear and easy to understandly Flat low installment state is bad, and causes reliability this situation low of the measurement of pulse information.Concrete and Speech, and A4 is same, it is possible to easily situation low for the period reliability of A6 is presented to doctor.
And, for during being diagnosed as cacosphyxia as A4 and A6 but reliability low phase Between, can be by being further highlighted so that it is be different from the interval that reliability is high.Lift one Example, as shown in Figure 4, thus it is possible to vary the background colour of the scene that reliability is reducing.By this side Formula, the part being changed for background colour, embodies judgement based on pulse information with being visually readily apparent that Likely mistake.Therefore, if doctor, the part that is changed with background colour (or formed table Show the part of the background colour that reliability is high) it is that object carries out diagnosing such that it is able to and the information of alleviating is read The burden read.
Thus, during utilizing analysis result information to show multiple cacosphyxia time, it is possible to by reliability Higher period, the most doubtful be not noise but user from there occurs that abnormal period is preferentially used In diagnosis such that it is able to alleviate diagnosis burden.
(activity information, mental status information, external environmental information, institute are in place for 2.2 variation 1 Confidence ceases)
And, as it has been described above, the information shown with the result of determination during cacosphyxia simultaneously, permissible Consideration has multiple.Such as, shown in (A) of Fig. 5, can show that activity information is as action letter Breath.As it has been described above, activity information is consumption of calorie and the information such as oxygen uptake, metabolic equivalent, can With quantitative Treatment (quantizing).The horizontal axis representing time axle of (A) of Fig. 5, the longitudinal axis represents activity. By the coordinate diagram of the action message shown in the A7 of Fig. 2 being changed into (A) of Fig. 5, it is possible to plain Relation during understandable ground display pulse is abnormal and between activity.
Oxygen uptake VO2 can measure by using the measuring instrument such as exhaled.Known oxygen is taken the photograph Taken amount can utilize as the desired value representing exercise intensity, can be using oxygen uptake itself as living Momentum information.It is additionally, since the known method being obtained consumption of calorie by oxygen uptake, therefore, it is possible to Using the consumption of calorie that will try to achieve as activity.But, owing to the measurement equipment exhaled is large-scale mostly Equipment, accordingly it is also possible to utilize pulse information to obtain activity information.It is known that oxygen is taken the photograph Taken amount VO2 is relevant to heart rate HR.Such as, it is VO2m when assuming maximum VO2, VO2 time quiet For VO2r, resting heart rate is HRr, when maximum heart rate is HRm, it is known that there is following formula (1) Relation.But the left side of following formula (1) uses one minute oxygen uptake.
[mathematical expression 1]
V · O 2 - V · O 2 r V · O 2 m - V · O 2 r × 100 ( % ) = ( H R - HR r ) ( HR m - HR r ) × 100 ( % ) ... ( 1 )
That is, if it is possible to tried to achieve Pulse Rate by pulse information, then do not have some abnormal user In the case of this Pulse Rate corresponding with heart rate HR (consistent), therefore, it is possible to asked by above formula (1) Go out oxygen uptake VO2.Therefore, it is possible to obtained oxygen uptake and consumption of calorie as activity by Pulse Rate Amount information.
And, as shown in (B) of Fig. 5, mental status information can be shown, specifically, Can also show stress information.The horizontal axis representing time axle of (B) of Fig. 5, the longitudinal axis is that represent stress The axle of intensity.For example, as it is known that the numerical value of Pulse Rate can rise because of psychological stress.Therefore, it can root According to the Pulse Rate rising degree to standard pulse number (Pulse Rate, minimum Pulse Rate time quiet), infer Stress intensity.Furthermore it is known that asked by pulse information etc., stress to refer to that calibration method has multiple, this embodiment party Formula can extensively use these methods.
By making the A7 of Fig. 2 change into (B) of Fig. 5, it is possible to clear and easy to understand ground display pulse is abnormal Period and stress relation between information.When confirm stress be big period and cacosphyxia during between phase Guan Shi, arrhythmia corresponding during this cacosphyxia, may infer that as stress be caused by main cause.
Furthermore, it is possible to show that external environment condition is believed while result of determination during display pulse is abnormal Breath, (C) of Fig. 5 shows the picture example of displays temperature information.Here temperature information, as Upper described, can be the temperature difference information of shell temperature and outside air temperature.
Specifically, pulse measuring instrument can be 2 points different to the distance from user's body surface Carry out thermometric device.Such as, if the example of aftermentioned Figure 22, then handing over shell portion 30 Arrange multiple on the diverse location of the Z-direction (with the direction etc. of the dial plate sections transverse of wrist-watch) of fork Temperature sensor.In this case, in the Z axis positive direction of Figure 22, position relationship is in order It is followed successively by: the body surface of user, the first temperature sensor, the second temperature sensor, pulse measuring Device and outside separating surface.In this case, as shown in Figure 6, in Z-direction, user's Temperature is produced between shell temperature T0 and outside air temperature (being above-mentioned interfacial temperature for narrow sense) T3 Degree gradient, first, second temperature sensor is output as the allocation position of temperature sensor therein and (is In the position of Z axis, be z1, z2 here) corresponding to temperature T1 and T2.That is, work as detection When going out T1 and T2, by therefrom inferring that the thermograde of Z-direction is (in Fig. 6, it is assumed that have Rectilinearity), it is possible to calculate shell temperature T0 and outside air temperature T3.It addition, for thermograde, The model that can utilize hot revenue and expenditure etc. is obtained, and its form is not limited only to linear function, can carry out various Deformation.Temperature difference information e.g. T0-T3, but it is not limited only to this.
In view of the situation of the load to human body, simple outside air temperature this environment too high, too low is also It is likely to become the main cause of load, but as the load main cause on this, extraneous gas can be enumerated Temperature example jumpy.For example, as it is known that period cold in the winter time, from having the room of heating installation to family The example of cerebral hemorrhage occurs after Wai immediately, and such situation is big equally to the load of heart, temperature drastically Degree change is likely to become the main cause of arrhythmia.Further, when outside air temperature drastically changes, and slowly During change, (or when change has begun to pass through certain a period of time) is compared, it may be considered that itself and body surface The difference of temperature is the biggest.That is, compared with the situation utilizing outside air temperature itself, by utilize its with The temperature difference information of shell temperature, it is possible to suitably represent the load that temperature is brought to user, arteries and veins is restrained Whether uneven be that the judgement caused by temperature main cause is effective.
And, it is not limited only to temperature, for people, environment has and makes us being comfortable on, and makes us sense Feel unhappy environment.Its standard varies with each individual, and in a word, user can be become by undesirable environment Load, therefore, it is possible to become the main cause of arrhythmia.And, also to consider comfortable with simple Unrelated with unhappy, it is intended that the arrhythmia that causes of environment.For example, it is also possible to user self occurs Do not feel bad, but the temperature conditions specified causes this situation of outbreak of arrhythmia.Therefore, By obtaining the external environmental information representing external environment condition, investigate this external environmental information and cacosphyxia Relevant between period, differentiate arrhythmia whether owing to external environment condition will be because of caused, when being strictly External environment condition will because of time, then can differentiate which kind of environment concrete is main cause.Thereby, it is possible to be taken through Avoid the external environment condition specified to suppress the measures such as the morbidity of arrhythmia.
Owing to showing the example utilizing temperature information in (C) of Fig. 5, thus transverse axis is time shaft, The longitudinal axis is for representing the axle of temperature (temperature difference, unit e.g. DEG C) but it also may similarly show it Its information.Such as, if pressure information, then the longitudinal axis is changed into air pressure (unit for example, Pa) , if outer optical information, then the longitudinal axis is changed into illumination (unit for example, lux). It addition, if it is considered that air pressure is low will become the load to user, then, it is also possible to this is born to obtain expression The desired value of lotus, such as air pressure more low value becomes the biggest desired value, using this desired value as the longitudinal axis. If it is considered that the flicker of outer light will become the load to user, then, it is also possible to obtain this load of expression Desired value, such as obtain flicker often, or flicker frequency height time, value can become big finger Scale value, using this desired value as the longitudinal axis.Additionally, if ambient sound information, then the longitudinal axis is changed For volume (unit e.g. dB).In this case, if the sound of assigned frequency band becomes Problem, then can only obtain volume the deformation such as display on the longitudinal axis of this frequency band.
And, as shown in (D) of Fig. 5, it is also possible to the result of determination during display pulse is abnormal While show position information.It addition, at (D) of Fig. 5, the longitudinal axis does not indicates that some quantitatively refers to The size of scale value, and only represent the attribute of position.In other words, more to the upward direction of the longitudinal axis, To load this relation the biggest of user and be false.
The method of the present position of the known user of determination has multiple, such as, utilize GPS (Global Positioning System, global positioning system), the base station information etc. of portable phone, can pass through Latitude, longitude etc. obtain positional information.Therefore, if by the position (Latitude-Longitude) specified with should Position is that to have the place of how attribute corresponding, it becomes possible to determine the position at user place.Such as, In widely used cartographic information, which position there is which type of building, facility in owing to knowing, Accordingly it is also possible to determine the institute of user from the positional information (Latitude-Longitude) of such information and mensuration At positional information.Additionally, due to each user in position such as " oneself ", " job site " is different, Therefore, it can be utilized some interface to input voluntarily by user.
In this way, it is possible to by the position phase of the generation during cacosphyxia with user at that time Association.If there is during easily there is cacosphyxia in the position specified, this is correlated with, it becomes possible to adopt Take the measure avoiding this place to go.As an example, different if can be easily detected pulse in job site Often period, it becomes possible to making the measure such as suspend from the duty may effectively judge.
Additionally, for the display of position information, it is also possible to implement various deformation, for example, it is possible to Utilize the two dimensional image display position information for map denotation etc..Specifically, can be every Specific time interval makes the map image representing position, and display is in the district shown in the A7 of Fig. 2 On territory, it is also possible to the timing during cacosphyxia detected, make the Map of display position Picture, is shown on the arbitrary region of Fig. 2, to allow people know the pass during itself and this cacosphyxia System.
As it has been described above, the letter of display while being shown as discernible information during by cacosphyxia Breath, it is possible to use (C) of (A) of Fig. 3 to Fig. 3 and (D) of (A) of Fig. 5 to Fig. 5, Or any information in its variation.Additionally, shown information is not limited only to one, it is also possible to aobvious (C) of (A) of diagram 3 to Fig. 3 and (D) of (A) of Fig. 5 to Fig. 5 or its deformation Multiple information in example.
2.3 variation 2 (by being shown as other example discernible during cacosphyxia)
And, with (C) of (A) of Fig. 3 to Fig. 3 and (D) of (A) of Fig. 5 to Fig. 5 Shown information shows simultaneously, can be the information during recognizable cacosphyxia, and its mode is not subject to The restriction of Fig. 2.Such as, process portion 230 can generate for showing showing during representing cacosphyxia Show the information of object (icon, labelling) as the first analysis result information, of the present embodiment Analysis result information can be the information showing picture shown in Fig. 7.
The transverse axis of Fig. 7 is the time, in the timing variations of B1 region representation reliability index, at B2 The timing variations of region representation Pulse Rate.Additionally, in B3 region, during being judged to cacosphyxia Display object (example of Fig. 7 is stick) is represented, at B10 region representation row in corresponding scope Dynamic information (being class of activity information, here for the icon shown in (C) of Fig. 3).
If the example of Fig. 7, in the period (one day given in during such as measuring) of display object In, during these three cacosphyxias of the B4 to B6 shown in stick being detected, reviewer is according to bar The presence or absence of block, the stick position on transverse axis, it is possible to will be readily understood that and which detects arteries and veins during During fighting extremely.That is, according to this display object, such as show have that it's too late shape, the color of object Color etc., it is possible to period during demonstrating the most clear and easy to understand cacosphyxia and in addition.
And, in the example of fig. 7, when representing reliability index, it is assumed that in longitudinal axis upward direction Reliability is high, low in reliability in downward direction.That is, in reliability index based on body moving noise In the case of, body moving noise amount (the actual effect semaphore of such as acceleration information) will be become the biggest, more Being positioned at the relation in downward direction of the longitudinal axis, in this, the display with the reliability index of Fig. 2 is not With.So, the display packing of reliability index can carry out various deformation.
In the figure 7, in addition to the display object (icon, labelling) during display pulse is abnormal, Display that this Pulse Rate waveform of timing variations of Pulse Rate.And, it is also possible to Pulse Rate waveform is changed Become pulse interval waveform.
In this way, can not only display pulse abnormal during result of determination, additionally it is possible to display base More detailed information in pulse information.Therefore, it is possible to be presented to doctor for diagnosis in cacosphyxia The information that period arrhythmia is the most really fallen ill.
It is additionally, since the situation also having the morbidity of atrial fibrillation to continue dozens of minutes, therefore, an arteries and veins Also dozens of minutes can be up to during fighting extremely.As described later, the second analysis result information display pulse is different The often information of at least some of interval (such as 20 seconds, 1 minute such give interval) in period. Therefore, when utilizing the second analysis result information to show the information during a cacosphyxia, Ke Yixian Show information soon after the beginning during this cacosphyxia, can be with display pulse will tie during abnormal Information before bundle, it is also possible to the timing information in the middle of display.
Like this, owing to can freely set the interval utilizing the second analysis result information to show, because of This, can to reviewer display pulse during abnormal in which interval be used for the second analysis result letter The display of breath.In this way, read the second analysis result information time, doctor it will be appreciated that from Oneself is reading the data in which interval during cacosphyxia.For example, it is possible to the B7 of display Fig. 7 Object to that triangle shown in B9.Fig. 7 represents by the second analysis result information display arteries and veins Interval information in during fighting extremely, corresponding to the summit of the object of triangle.
As it has been described above, process portion 230 can be carried out at the judgement during cacosphyxia according to pulse interval Reason, and the result of above-mentioned determination processing and each according to each interval in during measuring is interval Reliability index, generate the first analysis result information.In this way, it is possible to common display is sentenced The fixed result (Fig. 2, Fig. 4 are the shape of point of pictorialization, and Fig. 7 is the presence or absence that stick shows) processed With reliability index (Fig. 2, Fig. 4 are A3 and A5, and Fig. 7 is B1 region) such that it is able to become Alleviate the display of the reading burden of doctor.
And, the information during recognizable cacosphyxia also can carry out other deformation.(A) of Fig. 8, Display picture example when (B) of Fig. 8 is to show analysis result information, (A) of Fig. 8 corresponds to Once checking the information that result is generated, (B) of Fig. 8 is corresponding to repeatedly checking what result was generated Information.I.e., process portion 230 generates the analysis result corresponding to the pulse information obtained in first period The first information and the parsing of pulse information corresponding to obtaining in period more longer than first period Second information of result, output unit 250 can merge the output first information and the second information.
Here first period, for narrow sense, the period once checked, second phase table are represented Show the period repeatedly checked.And, " once checking " is to represent to utilize pulse measuring instrument 100 Obtain the unit of pulse information continuously, such as, once check corresponding first period be several days extremely About ten days.But, due to pulse measuring instrument 100 also by the restriction of battery etc., therefore, permit Permitted to there is, among once inspection, the interregnum not obtaining pulse information.This interregnum can be somewhat Clock, to about several hours, is the time the shortest relative to first period, and does not assumes that several days to several Month such span.On the contrary, when repeatedly checking, between each inspection, several days will be had (if examining Consider to the efficiency checked and the factor such as patient burden, be then a few week) to the interregnum about some months.
In this way, when showing the first information, can show as shown in (A) of Fig. 8 More detailed information.At (A) of Fig. 8, according to the position having the frame shown in dashed line free and its transverse axis Put, it is possible to during identifying cacosphyxia.On the other hand, when showing the second information, although believing in detail The display of breath is not easy, but can carry out being easily mastered this patient's states of timing variations checking result The display of summary.At (B) of Fig. 8, according to or without vertical line and its position, it is possible to identify pulse During exception.Second information, in other words, is the information of the morbidity record information showing atrial fibrillation. That is, it is possible to according to the desired Information Granularity of reviewer, show suitable information.It addition, Fig. 8 (B) be to conclude 5 times to check results and the picture that shows, (A) of Fig. 8 is to show wherein the The picture that five times check result details.
For narrow sense, action message supposes its display picture at (A) of Fig. 8.At (A) of Fig. 8, To be shown as recognizable during cacosphyxia by display object (frame of dotted line shows), meanwhile, Same with the A7 of Fig. 2, carry out the display of the action message corresponding to (A) of Fig. 3.Additionally, At (A) of Fig. 8, show LF, HF and the AF ratio as autonomic nerve action message.
LF and HF tries to achieve by the data of the timing variations that pulse is spaced are carried out frequency transformation.Frequently The peak value of the lower frequency of the data after rate conversion is corresponding with LF, the peak value of upper frequency and HF Corresponding.Specifically, the power of each peak value is regarded the value of LF, HF.LF represents arteries and veins Fight the slowly varying of interval, the orthosympathetic activity of main reflection.On the other hand, HF represents and compares arteries and veins The LF being spaced that fights changes faster, the parasympathetic activity of main reflection.If (A) of Fig. 8 Example, then obtain the value of HF and two values of value of LF/HF, by each value and sequential Analysis result association relevant during cacosphyxia.Specifically, transverse axis (time) is common axle, In table, the value of HF and LF/HF is carried out pictorialization.Can be determined that the value for HF is the biggest, secondary friendship Sense nerve is more had the advantage, and the value of LF/HF is the biggest, and sympathetic nerve is more had the advantage.
And, AF ratio is one of reliability index.As described later, according to pulse interlude In change, whether the power of a part of frequency band is beyond giving threshold value Pth, it is possible to the detection cacosphyxia phase Between.Here AF ratio, is to represent during process object, and power is beyond the time of Pth Information, expression value the biggest (close to 100%) reliability is the highest.Additionally, here, when AF ratio Example has exceeded when giving threshold value (such as 50%), it is determined that during being cacosphyxia during processing object. That is, in this case, due to the Judging index during cacosphyxia and reliability index two side Face is i.e. AF ratio, therefore, obtains Judging index by other approach as itself and aftermentioned Figure 17 Refer to calibration method with reliability, be different variation.
Here it is possible to think and be shown as discernible analysis result information during by cacosphyxia, It is the information of the continuous disease time information including atrial fibrillation.The time that atrial fibrillation is fallen ill continuously, Relevant with the order of severity of the symptom that the formation difficulty of thrombosis and this thrombosis cause.Therefore, logical Cross the continuous disease time information utilizing dissection process to obtain the time that expression atrial fibrillation is fallen ill continuously, This information is made to be contained in analysis result information, it is possible to reviewer is shown definite important information.Special Not, if during (A) such display object display pulse of use Fig. 8 is abnormal, the most continuously Corresponding between disease time with Time of Day becomes easy.
But, continuous disease time information, can be the information representing continuous disease time, concrete and Speech, can be that x divides or y hour such information.If known disease time continuously is a few minutes Then it was difficult to about 1 hour form thrombosis, when continuing about 5 hours, the most easily forms thrombosis.Therefore, By 1 time or repeatedly check in the middle of the continuous disease time obtained in result, when can would indicate that maximum Between information as continuous disease time information.In this case continuous disease time information is permissible It is " continuous disease time: 3 hours " this text message, it is also possible to showed by various charts Information.
And, in the example of (B) of Fig. 8, transverse axis represents that check day, the longitudinal axis represent one day and works as In time.In this case, one day (24 hours) correspond to a line of above-below direction, as Whole display picture, it is possible to only by the line corresponding to number of days of check day, show the whole inspection phase Between cacosphyxia during.In the example of (B) of Fig. 8, during cacosphyxia beyond phase Between do not describe line, and during cacosphyxia, carry out the description of line.
And, as shown in (B) of Fig. 8, it is also possible to utilize the disease time represented atrial fibrillation Carry out the information of the total disease time added up.Specifically, by the cumulative time during cacosphyxia As adding up to disease time information.The broken line chart shown in D1 of (B) of Fig. 8 is to add up to The timing variations of disease time information, total disease time information here has been by including in the past Checking the information after interior accumulative process, the point of D1 represents total disease time respectively.By this The mode of kind, can will be readily understood that the change of the state of an illness according to the gradient of broken line.From (B) of Fig. 8 Example it is found that first to the 3rd day of the most a certain degree of big-inclination inspection it Before, the state of patient is the most bad, becomes the least the 4th day the 5th day gradient, illustrates that the state of an illness is just Taking a turn for the better.
And, in addition to result of determination during cacosphyxia and action message etc., analysis result is believed Breath can represent various information.Such as, process portion 230 can generate to include being associated with and be represented to user The prescription drugs record information of the medicine outputed is in the analysis result information of interior information.According to (B) of Fig. 8, Kind (or title) display of the medicine each the inspection of first to the 5th time every time outputed is representing inspection The top (D2) of the frame looked into.In the example of (B) of Fig. 8, the most secondary inspection it After, output warfarin anticoagulant, after the inspection of the 3rd to the 5th time, except warfarin anti-coagulating action Beyond agent, also output Bextra.
In this way, it is possible to while the resume write a prescription by checking result screen to confirm, Easily being determined that outputed medicine, the most effective (whether whether the state of an illness takes a turn for the better, wait during cacosphyxia Shorten).Such as, in the example of (B) of Fig. 8, owing to there not being improvement before the first to third time, Therefore, it can to judge only to open the prescription effect of warfarin anticoagulant the best.And, by from Outputing beta-receptor blocade after checking for three times, the 4th, the 5th inspection thereafter is found to have improvement, Therefore, it can judge that beta-receptor blocade is effective.
And, as it has been described above, atrial fibrillation patient sometimes does not has subjective symptoms.The atrium of silent Vibration, it is possible to the aggravation when patient does not discovers, therefore, is not only simple presence or absence Morbidity, whether patient feels that this information of oneself falling ill is the most critically important.Therefore, in process portion 230, Represent the action message that pulse measuring instrument 100 was operated, it is also possible to generate and include and cacosphyxia The information that period is associated is in interior analysis result information.
In this case, the expression example of analysis result information is Fig. 9, and " event button " this project sets Put in the position shown in E1.In this position, transverse axis is the time, is common, carries out user Vertical line is shown on the position of the timing of operation (event button is pressed).Can by the example of Fig. 9 Know, during 6 cacosphyxias in inspection among, 1 no conscious sympton of about 18 of 2/9, Other all has subjective symptoms 5 times.
Furthermore, it is also possible to carry out the display for the treatment effect clearly having been carried out.So-called process, example As, it is catheter ablation, catheter ablation is a kind of by inserting the catheter in heart, is drawn by electric current Entering this conduit, carry out the part (such as, causing tachycardiac position) of heart burning controls Therapy.
The display example of the analysis result information of this situation is Figure 10 (A), (B) of Figure 10. It is considered that as reviewer, can be hopeful according to whether symptom before and after catheter ablation there occurs Change confirms this requirement of effect.Therefore, the letter of the morbidity resume shown in (B) of display Figure 10 Cease.From the example of (B) of Figure 10, enter between second time checks and third time checks Row catheter ablation, the state of an illness is improved therefrom.Additionally, as shown in (B) of Figure 10, confirm The meaning of effect, it is simply that would indicate that information and the morbidity record information of the timing having carried out catheter ablation Associate.
2.4 variation 3 (the second analysis result information)
Due to by utilizing above-mentioned analysis result information, it is possible to the cacosphyxia phase in identifying during measuring Between, therefore so that doctor can easily grasp the substantially situation of the arrhythmia during this mensuration. That is, even if during during Ce Dinging being 3 days to 10 days such length, it is also possible to easily grasp In which type of timing, or can suspect it is arrhythmia under what kind of frequency, but also can be simultaneously Reading is for differentiating the information of the main cause etc. of arrhythmia such that it is able to alleviate the burden of doctor.
But, the diagnosis of arrhythmia should be carried out by doctor, only shows and processes based on Biont information The result of determination of system 200 is the most improper.In other words, defeated in Biont information processing system 200 Go out in (resolving report etc.), it is necessary to show and be enough to be made whether the diagnosis into arrhythmia for doctor Details.Particularly body moves the impact of noise etc. so that the precision of pulse information is lower than with the heart Precision during electrograph, hence it is highly desirable to a kind of picture shows etc. determines the pulse that system is detected Abnormal results is the most suitable.
Above-mentioned analysis result information (being the first analysis result information for narrow sense) is if showing Fig. 2 then Being 4 hours, Fig. 7 is then information during 24 hours such length.Therefore, display it is unsuitable at 16Hz The pulse information obtained in this frequency and the pulse obtained for 1 second 1 time are spaced (Pulse Rate) The discreet portions of timing variations.Such as, the display at the pulse interval of Fig. 2, is not to be conceived to one one Individual point, and it is intended to hold the trend of its distribution (deviation), the display of the Pulse Rate of Fig. 7 must not Do not elongating interval to a certain degree.Additionally, it is difficult to be further illustrated in altofrequency on Fig. 2 and Fig. 7 The pulse wave of upper acquirement.
It is to say, only use the display of the first analysis result information, acquired by obtaining section 210 When pulse information and body movement information are compared, there will be gaps and omissions in display information, doctor is from so there being gaps and omissions Information in carry out the relevant diagnosis of arrhythmia improper.Doctor, for diagnosing, needs more detailed Thin display, such as, demonstrates pulse information itself, or can fully identify Pulse Rate and pulse The mode being worth one by one at interval shows.
Such as the explanation in the first analysis result information, whether it is pulse owing to present embodiment achieves Result of determination during exception, therefore, more detailed information, it is possible to use during this cacosphyxia Information representative.In this way, it is possible to weight in the diagnosis carrying out arrhythmia of reading in detail The information that the property wanted is higher.
Therefore, in addition to above-mentioned analysis result information, it is also possible to generation is used for showing ties than this parsing Really the second analysis result information of the more detailed information of information.
Such as shown in Figure 11, the second analysis result information can be that display body movement information (believe by acceleration Breath), pulse wave, the time change of about 20 seconds this short period of pulse interval waveform etc. Information.As shown in figure 11, by the limit of interval of display object is set to about 20 seconds, can be more detailed Show Acceleration pulse, pulse wave, pulse interval waveform with carefully (interval display need not being elongated) Change.It addition, the interval in during the cacosphyxia that shows of the second analysis result information not shall be limited only to the extent 20 seconds, it is also possible to carry out various deformation, as being defined to 60 seconds.
Additionally, shown in as a example by showing Acceleration pulse on Figure 11, process portion 230 can generate Give in interval body movement information and installment state information extremely in display pulse is during abnormal The information of a few side, as the second analysis result information.In above-mentioned analysis result information, it is assumed that use Interval reliability as reliability index, interval reliability be such as gave with 20 seconds etc. interval for right As carrying out determination processing.For the details of interval reliability, until interval reliability detection unit 227 During explanation, it is described further.
It is to say, in analysis result information (narrow sense is the first analysis result information), with 20 Second is 1 unit, it is assumed that the reliability index that display pulse measures, and considers especially asking this The details of body movement information used during reliability index and installment state information are (among such as 20 seconds Timing variations) etc. display.But, whether the pulse measuring interval for object can trust this Judge, be not the most the result of determination the most so utilizing Biont information processing system 200, but by Reviewer (doctor) performs to confirm work.
It is to say, utilize the judgement of reliability detection unit 227 between the second analysis result information display area Result is not by any obstruction but it also may the more detailed information that display judges for reliability.Tool For body, the waveform of the waveform of body movement information itself and the desired value of installment state can be shown originally Body.It addition, the judgement of installment state, it is also possible to utilize the signal level of pulse signal.Therefore, figure Pulse wave shown in 11 grades, is the detailed letter possible simultaneously with the arrhythmia for diagnosing patient Cease this first side and for judging the information of this second side of the details of reliability.
The example of other the second analysis result information is shown at Figure 12 and Figure 13.If passing through Figure 12 See the Acceleration pulse of display according to the second analysis result information, then the variation understanding value is big, therefore, Can suspect that body moves the impact that noise causes.And, if by Figure 13 according to the second analysis result Information sees the installment state information (pulse wave) of display, then can find that signal level is the least, because of This, can suspect the bad impact caused of installation.
As it has been described above, by utilizing the second analysis result information, it is possible to giving in during cacosphyxia Give interval for object, the details of display pulse waveform and pulse interval waveform etc..Therefore, pass through Utilize the information that this is detailed, it is possible to arrhythmia during cacosphyxia is the most really sent out by doctor Disease diagnoses.
It is additionally, since arrhythmia in 3 to 10 days it may happen that repeatedly (occur that repeatedly arteries and veins is restrained not Volley work), therefore, as shown in the first analysis result information of Fig. 7, it is also possible in during measuring During cacosphyxia being detected repeatedly.In this case, during each cacosphyxia, in order to by Doctor carries out definite diagnosis, can be interval, with this district to setting at least one during each cacosphyxia Between be object, carry out display based on the second analysis result information.
It is to say, process portion 230 is for doubtful arrhythmia outbreak (continuous print arrhythmia Morbidity) a cacosphyxia during, generate show at least one stage of attack waveform such second Analysis result information.Here stage of attack waveform, is to represent the cacosphyxia that doubtful arrhythmia shows effect The representative waveform of period, the most corresponding with Figure 11 to Figure 13.As a result of which it is, second Analysis result information becomes the information for representing multiple stage of attack waveform.
In this case, multiple stage of attack waveforms being arranged display sequentially in time, doctor can root According to the detection ordering during cacosphyxia using stage of attack waveform as the content read.But, in this reality Execute mode, be by the calculating of reliability index.Therefore, for each of multiple stage of attack waveforms, Which degree is the reliability that can conclude that pulse measuring be.
Owing to the stage of attack waveform that reliability is high is assumed that the accuracy of detection during cacosphyxia is high, because of This, be detected the probability during cacosphyxia high because of the exception of patient self, for doctor, This stage of attack waveform of reading is very useful in the diagnosis of arrhythmia.On the other hand, low the sending out of reliability Make phase waveform, it is possible to patient self is without exception be but detected cacosphyxia because of noise during (false Positive), it is possible to the reading of this stage of attack waveform is helpless to the diagnosis of arrhythmia.
When the second analysis result information comprises multiple stage of attack waveform, they can not be carried out on an equal basis Process, but according to reliability, difference is set on the relative importance value of display.Specifically, at the first arteries and veins When reliability index during fighting extremely is higher than the reliability index during the second cacosphyxia, process portion 230 so that the analysis result information during the first cacosphyxia is than the parsing during the second cacosphyxia The mode that object information preferentially shows, generates the second analysis result information.
Owing in this way, can preferentially show that reliability is higher, patient is under a cloud is really Analysis result information (stage of attack waveform) during first cacosphyxia of arrhythmia, therefore, doctor Life can preferentially be read information useful in the diagnosis of arrhythmia.Conversely, because reliability is low and Under a cloud be false-positive second cacosphyxia during analysis result information (stage of attack waveform) excellent First spend decline, accordingly, it is possible to doctor can postpone the letter that reading may be useless in the diagnosis of arrhythmia Breath etc..
Hereinafter, reported by parsing, process system with the Biont information comprising the second analysis result information Illustrate as a example by the output of system 200.Resolve the Production Time of report, making frequency etc. and can have many Plant deformation, here, the report to the result representing 1 inspection, i.e. by 3 to 10 days left sides of accumulation Right data and the report that makes illustrates.In this case, so-called " to the second analysis result letter The relative importance value of the multiple stage of attack waveforms comprised in breath arranges difference ", can be by resolving in report The display mode of stage of attack waveform difference be set realize otherwise.
The example resolving report based on present embodiment is shown at Figure 14 and Figure 15.Resolve report It is made up of statistical summary, trendgram, stage of attack waveform, four projects of Full wave shape.
Statistical summary shows the representative statistic of the state of user (patient) during expression checks Project.Such as shown in Figure 14, it is shown that the meansigma methods of Pulse Rate, maximum, minima etc.. As shown in figure 14, for maximum pulse number, minimum Pulse Rate, this Pulse Rate quilt can together be shown The time (the day moon, Hour Minute Second) detected.Additionally, also display be judged to truly have atrial fibrillation (AF: Atrial fibrillation) the number of times of morbidity, the total ascent time, each average duration, the longest Persistent period etc..For maximum length in time, can together show that the disease time of this atrial fibrillation (is sent out Sick time started, end time).
It addition, as shown in figure 14, display process portion can carry out showing at least in following information Individual display processes, it may be assumed that total Pulse Rate of every day, the average pulse number of every day, atrial fibrillation The morbidity total ascent time is to the ratio of review time, the atrial fibrillation of every day morbidity total ascent time, each It atrial fibrillation morbidity total ascent time is to the ratio of review time and the atrial fibrillation of specifying the time period Dynamic there is ratio.
Here, such as, when the review time be 120 little time (5 days), every day atrial fibrillation morbidity Total ascent time is first day 1 hour, second day 2 hours, the 3rd day 0 hour, the 4th day 3 hours, During the situation of the 5th day 4 hours, the atrial fibrillation morbidity total ascent time ratio to the review time of every day Example is: first day 0.83%, second day the 1.67%, the 3rd day the 0.00%, the 4th day 2.50%, 5th day 3.33%.
And, as shown in figure 14, it is intended that ratio occurs in the atrial fibrillation of time period, can be by institute Each appointment time period having check day adds up to the value after calculating, it is also possible to when calculating the appointment of every day Between the atrial fibrillation of section ratio occurs.
Thereby, it is possible to the display information useful when doctor judges, the frequency that occurs such as atrial fibrillation, And whether be concentrated in appointment day.Because when atrial fibrillation is concentrated in appointment day, It is likely to symptom deteriorate.It addition, for these information, it is also possible at the pulse of display every day Second picture of waveform etc. shows the information of that day.
And, as shown in figure 15, Full wave shape is to show Acceleration pulse, arteries and veins during whole inspection Fight waveform, pulse interval waveform, the onset state (result of determination during cacosphyxia) of atrial fibrillation Waveform.
As shown in Figure 14, statistical summary is suitable to the summary utilizing numerical value to grasp during checking, it is not Show the content of concrete waveform etc., be not suitable for holding the timing variations of User Status.Therefore, doctor Raw diagnosis needs more detailed information.Additionally, as shown in Figure 15, although Full wave shape can show in detail Thin information, but quantity of information is the hugest.Therefore, after the diagnosis of doctor needs display suitably to summarize Information, or it is extracted the information after pith.
As the information making doctor easily diagnose, as it has been described above, present embodiment generates the first parsing knot Really information and the second analysis result information, the first analysis result information of present embodiment is corresponding to such as The trendgram of Figure 14, the second analysis result information is corresponding to the period of disease waveform of such as Figure 15.
Here period of disease waveform, is to represent the representative during the cacosphyxia that doubtful arrhythmia shows effect The information of property waveform, corresponding to each waveform of Figure 11 to Figure 13.
From the trendgram (Fig. 7) of Figure 14, during measuring in be detected multiple arteries and veins sometimes During fighting extremely, as a result of which it is, the second analysis result information becomes for showing multiple period of disease waveform Information.
In this case, multiple period of disease waveforms being arranged display sequentially in time, doctor can root According to the detection ordering during cacosphyxia, using period of disease waveform as view content.But, in this reality Execute mode, be by the calculating of reliability index.Therefore, for each of multiple stage of attack waveforms Waveform, it is possible to which degree is the reliability of deduction pulse measuring be.
Owing to the stage of attack waveform that reliability is high is assumed that the accuracy of detection during cacosphyxia is high, because of This, be detected the probability during cacosphyxia high because of the exception of patient self, for doctor, This stage of attack waveform of reading is very useful in the diagnosis of arrhythmia.On the other hand, low the sending out of reliability Make phase waveform, it is possible to patient self is without exception be but detected cacosphyxia because of noise during (false Positive), it is possible to the reading of this stage of attack waveform is helpless to the diagnosis of arrhythmia.
When the second analysis result information comprises multiple stage of attack waveform, they can not be carried out on an equal basis Process, but according to reliability, difference is set on the relative importance value of display.Specifically, at the first arteries and veins When reliability index during fighting extremely is higher than the reliability index during the second cacosphyxia, process portion 230 so that the analysis result information during the first cacosphyxia is than the parsing during the second cacosphyxia The mode that object information preferentially shows, generates the second analysis result information.
Owing in this way, can preferentially show that reliability is higher, patient is under a cloud is really Analysis result information (stage of attack waveform) during first cacosphyxia of arrhythmia, therefore, doctor Life can preferentially be read information useful in the diagnosis of arrhythmia.Conversely, because reliability is low and Under a cloud be false-positive second cacosphyxia during analysis result information (stage of attack waveform) excellent First spend decline, accordingly, it is possible to doctor can postpone the letter that reading may be useless in the diagnosis of arrhythmia Breath etc..
Compared with other analysis result information, preferentially show the analysis result during the cacosphyxia given The object lesson of the method for information (stage of attack waveform) has multiple.Such as, process portion 230 can give birth to Become the second analysis result information so that the analysis result information during the first cacosphyxia is than the second pulse Analysis result information during exception first shows.
As comprising the output (such as, resolve report) of first, second analysis result information, when defeated The when of the report of paper delivery medium and static pdf file etc., this parsing reports that multiple projects are sorted aobvious Showing, this sequence will not be changed.DISPLAY ORDER the most early, is more displayed near front (page 1) Position, DISPLAY ORDER is the most late, is more displayed on the position near end (final page).Although with It is different because of reviewer that what kind of page number sequence reading resolves report, but supposing is generally from from front The page number reading that page is near.That is, " first display " here, can be provided in from front page closer to Position on.
The trendgram of Figure 14 corresponds to Fig. 7, in this embodiment, from the chart of reliability index, Reliability interval for B7 is high, and on the contrary, reliability interval for B8 is low.In this case, with B7 pair The stage of attack waveform (corresponding to Fig. 1) answered shows as shown in the C1 of Figure 15, corresponding with B8 Stage of attack waveform (corresponding to Figure 12) show as the C2 of Figure 15.That is, high with reliability Stage of attack waveform corresponding for B7 will be displayed on the position close to the page of front.It addition, for Figure 13 Corresponding stage of attack waveform, due to its reliability step-down, (bad later as the C3 of Figure 15 Rear property ground) show.
Or, it is also possible to each information as display object and the information representing DISPLAY ORDER are closed Connection.DISPLAY ORDER is represented for example, it is possible to the analysis result information during the first cacosphyxia is given First internal data (the first metadata), gives the analysis result information during the second cacosphyxia Represent second internal data (the second metadata) of DISPLAY ORDER.Then, this DISPLAY ORDER is represented Data preserve with form comparable between data (such as can carry out the numeric data of size judgement).By This, by comparing the first internal data with the second internal data, it is possible to judge the suitable of which side Sequence is earlier.Such as, when internal data is numeric data, the least DISPLAY ORDER of numerical value more early time, pass through Generate the first such two internal datas of internal data < the second internal data, it is given respectively each Analysis result information during individual cacosphyxia, just can arrange difference to relative importance value.It addition, using When this internal data determines DISPLAY ORDER, generate the display image being sorted according to this internal data Process, can be performed by process portion 230 of the present embodiment, it is also possible to by having display part The process portion of device is carried out.Additionally, internal data can also be endowed first analysis result information etc. its Its information.
Can consider that reviewer can be during first grasping whole mensuration according to the first analysis result information Summary, then utilize the second analysis result information to carry out this order of detailed diagnosis.That is, It is believed that when setting the viewing area of display the second analysis result information, wherein, show position Put (position is set) closer to the first analysis result information, the degree of priority of reviewer reading is the highest. That is, so-called " first display " can be arranged on the position closer to the first analysis result information.
And, so-called " preferentially display " can be size based on viewing area (display size) Display.Such as, process portion 230 can generate the second analysis result information so that the second cacosphyxia The analysis result information of period is compared with the analysis result information during the first cacosphyxia, reduced aobvious Show.Thus, the stage of attack waveform that reliability is high is relatively largely shown, the stage of attack ripple that reliability is low Shape is relatively smallly shown, and therefore, user can easily understand that it should be noted that see which stage of attack Waveform.
In the example of Figure 15, stage of attack waveform that reliability is low (it is C2, the C3 of Figure 15, with Figure 12, Figure 13 are corresponding) the stage of attack waveform high with reliability (be the C1 of Figure 15, with Figure 11 pair Should) compare, it being contracted to the size of 1/4, the visibility of the stage of attack waveform that reliability is high becomes relatively High.
And, the method for " preferentially display " not by before and after order, the size of display size limited, Can also by change background colour, change the color of word and size etc. various emphasize to process realize.
Above, according to the only display pulse details giving interval during abnormal, the most only display is sent out The situation making phase waveform is illustrated, but is not limited only to this.Such as, according to diagnostic purpose and diagnosis The difference of person, is required sometimes by representational non-stage of attack waveform (beyond during cacosphyxia Interval details) part (section) replenish in parsing report.
In this case, during cacosphyxia beyond interval as object, such as with Figure 11 be equal to Sample ground, generates and moves waveform, pulse wave, the analysis result information of pulse interval waveform for display body ?.And, in this case, it is also possible to each non-stage of attack waveform is not located comparably Reason, but set relative importance value based on reliability, first show the non-stage of attack waveform that reliability is high, or Shown relatively large.
And, above, as the output comprising first, second analysis result information, it is assumed that static Form, but output of the present embodiment can also be dynamic (interactive) form.Such as, By, during the first analysis result information (trendgram) upper appointment cacosphyxia, specifying with display Representative waveform (the second analysis result information, stage of attack waveform) during cacosphyxia.Here generation The display of table waveform, can open a new display window, it is also possible to jump in display position, it is also possible to It it is other form.In this case, owing to the concept before and after DISPLAY ORDER is thin out thin, as " excellent First display " method, the change etc. that can carry out background colour is emphasized.
The display of first, second analysis result information of dynamic-form is such as shown in Figure 24.Figure 24 leads to Cross and open new display window and show and represent and represent the example of waveform.At Figure 24, it is assumed that at display figure Under the state of the trendgram shown in 7, corresponding to being referred to during the cacosphyxia of the B4 (B7) of Fig. 7 Fixed situation, the display window (ejection picture) that overlapping display is new on the trendgram of Fig. 7, Tu11Suo Corresponding representative waveform is displayed on new display window.And, represent the display of waveform, be not limited only to The waveform in the interval (such as 20 seconds) of fixing display specific length, it is also possible to show the warp before and after it Time waveform passage.Such as at Figure 24, the bottom of new display window is provided with scroll bar, by by user Operate this scroll bar, it is possible to be changed as the interval of the display object of waveform.Such as, Figure 24 is pressed Scroll bar in left arrow button, or make scroll box be moved to the left, then can be in chronological order Display waveform above, presses right-hand arrow button, or makes scroll box move right, then can be on time Between order display waveform below.Additionally, before and after representative waveform shown by Guan Kan through time pulse push away User interface during shifting, is not limited by scroll bar, it is possible to implement various deformation.
As it has been described above, the display process portion of present embodiment, carry out carrying out arteries and veins by being used at the first picture It is shown as discernible display during restraining the cacosphyxia of uneven judgement to process, believes as analysis result Breath, at the second picture, the display carrying out display pulse interval information processes, as prime information.And, Display process portion display object during user's cacosphyxia to representing shown by the first picture enters Go after the instruction operation given, carried out the pulse interval letter during the second picture display pulse is abnormal The display of breath processes.
Such as shown in Fig. 7, by reviewer display pulse abnormal during discernible first picture, and Carry out touching operation to any image data during the cacosphyxia shown in the stick of B4 to B6 Time, by the second picture shown in display Figure 11.It addition, in the example of fig. 7, B4's to B6 Stick is to represent the display object during cacosphyxia, but the display object of present embodiment is not limited Fixed.
Thereby, it is possible to display reviewer thinks the pulse interval information during the cacosphyxia of reading.
Here, the instruction operation given is the clicking operation to the first picture, touch operation, touches behaviour At least one operation in work, reduction operation, amplifieroperation, rolling operation and slide.Such as, If the operating portion of display device is mouse etc., then the instruction operation given is click on operation and rolls behaviour Make.Further, when display device has the board-like display part of touch surface, the instruction operation given is tactile Touch operation, touch operation, reduction operation, amplifieroperation and slide etc..
Thus, during reviewer can easily carry out the cacosphyxia wishing to read pulse interval information Appointment etc..
And, after the instruction operation given, it is not necessary to whole during display pulse is abnormal The pulse interval information in individual interval, such as shown in Figure 24, it is also possible in during only display pulse is abnormal The interval pulse interval information of a part.That is, display process portion 250 user to representing the After the instruction operation that display object during cacosphyxia shown by one picture is given, carry out The display giving the pulse interval information corresponding to interval during the second picture display pulse is abnormal Process.
Thus, even if in the middle of during cacosphyxia, it is also possible to carry out user and think the interval arteries and veins of reading The display etc. of interval information of fighting.
And, the interval given, it is not necessary to specified by user, for example, it is also possible to by process portion 230 Reliability according to pulses measure determines the interval given.
Thereby, it is possible to the pulse interval information of reliability low period that the most display pulse measures, And preferentially show the pulse interval information of the period that reliability is high.
And, process portion 230 generates during abnormal with different image display pattern display pulses With during cacosphyxia beyond the information of pulse normal period of period, as analysis result information. Further, display process portion 250, at such as the first picture shown in Fig. 7, shows during cacosphyxia The stick of B4 to B6 so that it is can have any different period normal with pulse.But, the arteries and veins of present embodiment Image display pattern during fighting extremely is not limited only to this.For example, it is also possible to during change cacosphyxia The color of the waveform of period normal with pulse shows, or make the period of one party become latticed enter Row display.
Thus so that reviewer can readily distinguish cacosphyxia during and pulse normal period.
And, display process portion 250 carries out the analysis result during the first picture shows whole inspection The display of the analysis result information of a day of information or specified time limit processes.
Such as, what the analysis result information during whole inspection contributed to catching quickly during inspection is whole Body is inclined to, and on the other hand, contributes to the analysis result information capture each specified time limit to specified time limit The change of tendency.E.g. one day specified time limit, but it is not limited only to this.
Thereby, it is possible to show that reviewer thinks the analysis result information of the period of reading at the first picture.
And, during checking, detected body self feels cacosphyxia sometimes, detected body-sensing Feel is to the information of the timing of cacosphyxia, it is possible to as the very effective letter when the diagnosis of arrhythmia Cease and utilize.Therefore, in present embodiment, such as, the pulse measuring instrument installed in detected body Be provided with the operating portions such as button, when feel cacosphyxia time, the behaviour such as allow that their own carries out pressing the button Make.Further, display process portion 250 can also be detected operation when user feels cacosphyxia The position display labelling of the first picture corresponding to timing.Such as, labelling US is shown at Figure 15.
Thus so that doctor can grasp the base that detected body self feels the timing of cacosphyxia On plinth, it is made whether it is the judgement of arrhythmia.
3. system configuration example
It follows that the configuration example of Biont information processing system 200 grade of the present embodiment is entered Row explanation.First, by the concrete system of the explanation Biont information processing systems 200 such as Figure 16 Configuration example, then, by (A) of Figure 21 to Figure 23, to including pulse measuring instrument 100 Outward appearance example and Biont information processing system 200 illustrate at the object lesson of interior system.
The configuration example of 3.1 Biont information processing systems
As it is shown in figure 1, Biont information processing system 200 of the present embodiment includes obtaining section 210, process portion 230 and output unit (display process portion) 250.
Obtaining section 210 obtains pulse information.Such as, with reference to Figure 23 (A) as described later, this reality The Biont information processing system 200 that the mode of executing relates to is realized by server system, if these clothes Business device system pulse measuring instrument 100 (bioinformation detecting device) with being arranged on user Obtaining the situation of pulse information, obtaining section 210 can also be to be carried out and pulse measuring instrument by network The communication unit (receiving the acceptance division of information from pulse measuring instrument) of communication.
In this case, obtaining section 210 obtains biography from the pulse transducer that pulse measuring instrument includes Sensor information.Here, pulse transducer is the sensor for detecting pulse signal, it may be considered that example Such as the photoelectric sensor etc. including illuminating part and light accepting part.Known pulse transducer can pass through light The various sensors such as the sensor (such as ultrasonic sensor) of electric transducer and other form realize, this The pulse transducer of embodiment can extensively apply these sensors.
The pulse information that process portion 230 obtains according to obtaining section 210 is carried out at the parsing of atrial fibrillation Reason, and generate analysis result information based on analysis result.The function in this process portion 230 can be by each Plant hardware and the programs etc. such as processor (CPU etc.), ASIC (gate array) to realize.
Output unit 250 exports the analysis result information generated by process portion 230.Output unit can be considered The output form of 250 has multiple, for example, it is also possible to miscellaneous equipment is sent analysis result by network Information.In this case, output unit 250 is realized by communication unit.Here network, the most wired, Wireless, all may utilize WAN (wide area network) and LAN (LAN) etc. and realize.Or, defeated Going out the unit that portion 250 can be printing analysis result information, in this case, reviewer will utilize paper The analysis result information that the reading such as medium has been printed.
The process of the so-called analysis result information generated in process portion 230 for showing various information, Can be the process generating display image information, can be the process generating print data, it is also possible to It is the information (such as defining the html file etc. of the configuration relation of each information) of picture display.Institute Meaning generates the information of picture display, as an example, can be to generate on the internet The process of the page (such as Web page) of reading.
And, output unit 250 can be to show that picture showed at end by defined in display image information The display process portion of the display part of end device.Such as, including Biont information of the present embodiment The device of processing system 200, can be to have display part, and at this display part display display picture Device, it is also possible to be at the termination different from the device including Biont information processing system 200 Display part display display picture device.Or, output unit 250 can be to send printing equipment The device of print data.Or, output unit 250 can be according to from include Biont information The requirement of the termination that the device of processing system 200 is different, sends the sending out of information of picture display Send portion's (communication unit).In this case, for utilizing the concrete picture of information that picture shows to show Show, carry out in the termination side of the information that have received the display of this picture.Give one example, When Biont information processing system 200 is proposed to use Web browser reading Web page by termination Requirement time, process portion 230 may be considered as replying the letter of the Web page corresponding with this reading requirement Breath, the Web browser of termination explains the information of this Web page, and display on display part Mode.But, the reception of the information between termination and Biont information processing system 200 and sending out Send, be not limited only to use the mode of Web browser, such as, can also utilize local application (Native app)。
Figure 16 shows the detailed configuration example of the system including Biont information processing system 200.But It is that Biont information processing system 200 is not limited by the composition of Figure 16, it is convenient to omit Qi Zhongyi The element of part, or add other element etc., carry out various deformation.Example at Figure 16 In son, the obtaining section 210 of Biont information processing system 200 is from the arteries and veins including pulse transducer 110 Determinator 100 of fighting obtains pulse information.
Process portion 230 includes the dissection process portion carrying out the dissection process of arrhythmia (atrial fibrillation) 220 and produce analysis result information analysis result information generation unit 240.
Figure 17 is the detailed configuration example in dissection process portion 220.As shown in figure 17, dissection process portion 220 Including: detection signal storage part 221, body move lower noise process portion 222, pulse interval calculating section 223, Judging index calculating section 224, noise content index calculating section 225, semaphore index calculating section 226, And interval reliability detection unit 227.
Detection signal storage part 221 is for storing the information that obtaining section 210 obtains.It is assumed here that take Portion 210 in addition to pulse information, also obtain represent the dynamic body movement information of the body of user (narrow sense and Speech is acceleration information), detection signal storage part 221 stores pulse information and body movement information.Such as, Body movement information is the information from the acceleration transducer included by pulse measuring instrument 100.
Body moves lower noise process portion 222 and obtains pulse signal and body from detection signal storage part 221 Dynamic signal, carries out body and moves the reduction process of noise pulse signal.Body moves lower noise process portion 222 Realized by such as sef-adapting filter process etc..It addition, be as noted previously, as present embodiment Utilizing reliability index, therefore, even if not carrying out body to move the removing of noise, and causing flase drop to measure arteries and veins In the case of restraining uneven result (becoming false positive), it is also possible to the display reducing this testing result is excellent First spend.Therefore, it is not necessary composition that the body of present embodiment moves lower noise process portion 222, Can also omit.
Pulse interval calculating section 223 obtains pulse interval according to pulse information.If noise is to pulse wave The impact of shape is little, it becomes possible to the peak intervals of pulse wave etc. be spaced as pulse.But, generally Pulse wave will not form the most good-looking waveform, therefore, according to the pulse in a certain degree period Information is that the frequency resolution of object processes and obtains pulse and be spaced.Giving one example, pulse interval is calculated Go out portion 223 for body move lower noise process portion 222 be lowered by body move noise element pulse letter Breath, grabs frame (frame) to each sample, and according to the frequency resolution of short time, (STFT is (short Time Fourier transformation) analyze) calculate frequency spectrum.Further, pulse interval calculating section 223 is according to calculating Frequency spectrum, calculates the parameter at the pulse interval being equivalent to each frame.
Here the frame cycle of e.g. about 4 seconds.In present embodiment, this pulse will be obtained The object at interval, the frame of i.e. 4 seconds etc., mark to calculate interval for pulse interval.It addition, following In explanation, it is pulse interval to be calculated period as 4 seconds, makes stagger this period one second by one second, one Second asks a pulse interval, but pulse interval is calculated to the length of period and asks pulse to be spaced Frequency, it is possible to implement various deformation.Judging index calculating section 224 is exported by the pulse interval obtained.
Judging index calculating section 224 is spaced according to pulse, obtains judgement arrhythmia (atrial fibrillation) and is The Judging index of no morbidity, specifically, i.e. obtains the judgement during determining whether cacosphyxia and refers to Mark.(A) of Figure 18, (B) of Figure 18 are the waveform letters to the variation representing Cardiac RR interval Number, start to the frequency band of 0.2Hz to carry out frequency resolution, by crest frequency from 0.01Hz at a frame Logarithmic transformation the coordinate diagram shown is carried out with power.When (A) of Figure 18 is not cause atrial fibrillation, Coordinate diagram when (B) of Figure 18 is to have caused atrial fibrillation.
From (A) of Figure 18, (B) of Figure 18, when utilizing Cardiac RR to be spaced, according to The presence or absence of atrial fibrillation morbidity, the intercept of regression straight line and gradient can produce change, therefore, it is possible to Atrial fibrillation is judged by this intercept and gradient.Therefore, in Judging index calculating section 224, can be with The waveshape signal of the variation at expression pulse interval is object, obtains and crest frequency and power are carried out logarithm The chart converted and show, obtains the intercept of this chart and gradient as Judging index.By should Compared with intercept when Judging index and the intercept of normal condition etc., atrial fibrillation morbidity etc., it is possible to sentence During determining whether to be cacosphyxia abnormal seen from pulse information, specifically, i.e. can determine that the heart Atrial fibrillation is dynamic the most to show effect.It addition, in Judging index calculating section 224, can not by intercept and Gradient is as desired value, but (whether atrial fibrillation is sent out to export result of determination based on this intercept etc. Sick result of determination).
Or, it is also possible to calculate the power of a part of frequency band in the change of pulse interlude.Causing During atrial fibrillation, compared with when not causing, above-mentioned power increases to several times, it is seen that significant difference. Accordingly it is also possible to judge atrial fibrillation from this changed power.
Moreover it is known that when atrial fibrillation is fallen ill, the timing variation at pulse interval will become big.Therefore, Can carry out obtaining the deformation implementation of the statistic such as dispersion value and standard deviation, and in this case, Can in the hope of the pulse before 1 timing be spaced between the statistic of variable quantity (difference or ratio), Rather than the statistic at pulse interval itself.Thus, by the process of Judging index calculating section 224, Various deformation can be implemented.Below, it is assumed that whether export from Judging index calculating section 224 is pulse Result of determination during exception, illustrates with this.
Noise content index calculating section 225 obtains the noise of the degree of the noise that expression pulse information is comprised Figureofmerit.Specifically, noise content index calculating section 225 obtains from detection signal storage part 221 Body movement information (acceleration information), obtains the finger of the degree representing that body moves noise according to this body movement information Scale value.More specifically, it is possible to use the regulation frequency of the 3-axis acceleration amount of acceleration transducer The power of band moves noise content as body.
Semaphore index calculating section 226 obtains the semaphore (signal level) representing that pulse information is comprised Semaphore index.Semaphore index calculating section 226 is merely by the amplitude level (actual effect of pulse signal Semaphore etc.) obtain as semaphore index.Dissection process portion 220 is not limited as including making an uproar Both volume indication calculating section 225 and semaphore index calculating section 226, it is also possible to only include wherein one Side.
And, process portion 230 (for the dissection process portion 220 in process portion 230 for narrow sense) includes At least one party in body movement information according to user and pulse information, during obtaining mensuration in each interval The interval reliability detection unit 227 of reliability index.
Interval reliability detection unit 227 can obtain trust based on noise content index by the following method Degree index, the most such as, by digital filter from the Acceleration pulse of each axle of acceleration transducer Extract the frequency band of regulation, obtain virtual value, be multiplied by based on each axle each axle disturbance degree to pulses measure Coefficient carry out adding up to calculating etc..Here give frequency band, e.g. 0.5 to 2 [Hz], it is corresponding In the frequency band that may repeat with the frequency band of pulse.And, reliability based on semaphore index is referred to Mark, utilizes the actual effect semaphore of pulse signal.
It addition, the object that interval reliability here judges, each length of an interval degree interior during i.e. measuring, The length of e.g. about 20 seconds.In this case, at interval reliability detection unit 227, according to making an uproar The actual effect signal of the body movement signal (acceleration signal) of 20 seconds of volume indication calculating section 225 output The actual effect semaphore of pulse signal of 20 seconds of amount and the output of semaphore index calculating section 226, Judge this reliability (interval reliability) during 20 seconds.
The analysis result information generation unit 240 in process portion 230 exports based on Judging index calculating section 224 Judging index and the reliability index of interval reliability detection unit 227 output, generate and resolve knot Really information.About the details of analysis result information, as mentioned above.
And, in the example of Figure 16, output unit 250 goes out showing device 300 output to other and resolves Object information.That is, as it has been described above, Figure 16 sends analysis result information by network etc. Example.Go out showing device 300 and reviewer is shown the analysis result information obtained from output unit 250.Narrow For justice, go out showing device 300 and include display part, show analysis result information at this display part.
Figure 19 shows the solution for the Biont information processing system 200 in present embodiment is described The flow chart of the process that analysis process portion 220 is carried out.After this process starts, first read obtaining section 210 The daily record data (S101) obtained.Here daily record data, is such as to have accumulated 3 to 10 days so Once overall measure during pulse information and the data of body movement information, be read out at S101 The process of one of them data.
It follows that judge whether the process of daily record data is finished (S102).Such as, from daily record The front of data sequentially processes, it is determined whether have untreated data remanence.If nothing During untreated data, (being no at S102) then terminates in the process in dissection process portion 220, and base Proceed to generate the process of the analysis result information of display in analysis result.
When there are untreated data (S102 is yes), carry out the later process of S103.Specifically For, first, body move lower noise process portion 222 carry out body move noise reduction process (S103). Body is moved lower noise process and is realized by wave filter as described above.
Then, it is determined that body move lower noise after pulse information whether have only accumulated pulse interval calculate district Between the information (S104) of this part.Owing to pulse interval calculates interval e.g. 4 seconds, therefore, When have accumulated the information of 4 seconds, the judgement of S104 is yes.Such as, if the sampling of pulse information Ratio is 16Hz, then the information of 4 seconds is exactly 64 data.When S104 is no, returning S101, Carry out the reading of next daily record data.It addition, as it has been described above, pulse interval calculate interval can also Stagger 1 second and set.In this case, in the process of S104, the data of 4 seconds are without from 0 Starting accumulation, the data of 3 seconds can divert the data having built up.That is, S104 will be judged to Being set to 1 second 1 time is.
When S104 is for being, calculating the pulse information in interval according to the pulse interval of accumulation, calculate Pulse interval (S105).Concrete computational methods are described above.Due to the process of S105 be carried out with The frequency that the frequency that is judged to be at S104 is identical, therefore, pulse interval will become and such as require 1 Second one.
It follows that judge that reliability judges that the data of interval part judge to whether have accumulated (S106).Here judgement interval is such as 20 seconds, and therefore, S106 is judged as 20 seconds 1 time Yes, other is judged as no.In the case of no, return S101, carry out next daily record data Read.
When S106 is for being, first, according to have only accumulated the pulse interval judging this part interval, Judgement (S107) during being made whether as cacosphyxia.Owing to requiring that pulse is spaced for example, 1 second 1 time, therefore, it is determined that index calculating section 224 utilizes 20 (if according to judging interval end points Pulse interval process, as shown in figure 11, be 21) pulse interval timing variations, by upper The method of stating carries out judging.
And, interval reliability detection unit 227, according to the pulse information of 20 seconds and body movement information, is sentenced Fixed interval reliability (S108).After the process of S108, return S101, carry out next daily record data Reading.
By carrying out the process shown in Figure 19, it is possible to while 1 second 1 time is obtained pulse interval, Relevant result of determination and interval reliability during obtaining cacosphyxia for 20 seconds 1 time.And, If changing pulse interval just can obtain Pulse Rate, therefore, for Pulse Rate, it is also possible to by 1 second The frequency of 1 time is obtained.
It addition, by the pulse of 4 seconds being spaced with calculating interval one second one second setting of staggering, i.e. for Within 3 seconds, allow repeatedly setting, and the method calculating pulse interval to 1 second 1 time is illustrated, but Interval for judging the judgement during cacosphyxia, also can carry out same process.Stream at Figure 19 In journey figure, it is shown that when seeking result of determination with 20 seconds for judging interval example, it is desirable to judge knot Really 20 seconds 1 time, but by by the ground setting of staggering of this judgement interval x second second x, it is possible to the x second 1 time Obtain result of determination.Here the x second, can and pulse interval to calculate be similarly 1 second, also Can be 2 seconds, 5 seconds, 10 seconds equal lengths.
Like this, when allowing to judge interval repetition, just become the value at a pulse interval by correspondence Interval situation is judged in multiple.Object lesson is as shown in figure 20.At Figure 20, it is determined that interval is 20 Second, above-mentioned x are 10 seconds, and pulse interval calculates with 1 second 1 time.It addition, here, district is being judged Between terminal pulse interval value, thus it is shown that not this judgement interval utilize example, therefore, if The value judging the interval pulse comprised interval of 20 seconds is as 20.At Figure 20, set the first judgement Interval Z1 and the second interval Z2 of judgement of next, but the RR11 to RR20 in pulse interval, bag It is contained in Z1 and Z2.That is, Z1 result of determination R1 during the cacosphyxia tried to achieve, Result of determination R2 with during the cacosphyxia tried to achieve by Z2, is all based on RR11's to RR20 Information.
In this case, as the result of determination during cacosphyxia based on RR11 to RR20, Can only use either one in R1 and R2.But, due to the letter corresponding with RR11 to RR20 Breath needs multiple, accordingly it is also possible to got up by multiple informixs.As an example, it is also possible to utilize The logic of R1 and R2 or, logic product, most decision etc. determine corresponding to RR11 to RR20 Interval result of determination.And, at Figure 20, if x=10, if but x being set less, then The value at one pulse interval would correspond to more judge interval.Such as, if setting x=1, then one The value at pulse interval would correspond to 20 and judges interval, therefore, utilizes the logic of 20 kinds of result of determination Or, logic product, most decision etc., obtain the result of determination at this pulse interval.For sentencing Determine the length of length of an interval degree and x, it is also possible to other deformation proceeded as above.
Furthermore, it is possible to by interval for judgement with the x second second x ground setting this point that staggers, refer to seeking reliability The situation of mark (interval reliability) is identical.In this case, it is not necessary to sentencing during utilizing cacosphyxia Determine result and interval reliability carry out same setting, therefore, it can by judgement length of an interval degree, with And the width x staggered when setting judgement interval is respectively set as the most different values.
The object lesson of 3.2 pulse measuring instruments etc.
(A) of Figure 21 to Figure 22 shows that the pulse measuring instrument 100 collecting pulse information (can Object wearing device) an example of outside drawing.The wearable device of present embodiment has band portion 10 and shell Portion 30 and sensor portion 40.Shell portion 30 is arranged in band portion 10.Sensor portion 40 is arranged on shell portion On 30.
Band portion 10 is that the wrist being entangled in user is in order to install the part of wearable device.Band portion 10 has With holes 12 and buckle portion 14.Buckle portion 14 has band insertion section 15 and jut 16.User will carry The end side in portion 10 inserts the bracelet insertion section 15 of buckle portion 14, by the projection by buckle portion 14 Portion 16 inserts with holes the 12 of band portion 10, and is arranged in wrist by wearable device.It addition, band portion 10 can also form the structure with buckle, to substitute buckle portion 14.
Shell portion 30 is equivalent to the body of wearable device.Shell portion 30 is internally provided with sensor portion The various component parts of the wearable device such as 40 and not shown circuit substrate.That is, shell portion 30 is to hold Receive the casing of these component parts.
Shell portion 30 is provided with light-emission window portion 32.Light-emission window portion 32 is formed by light transparent member.Further, Shell portion 30 is provided with installs on flexible substrates as the illuminating part at interface, from the light of this illuminating part, Outside by directive shell portion of light-emission window portion 32 30.
Shown in (A) such as Figure 23 etc., wearable device is arranged in the wrist of user, pulse information The measurement of (being Biont information in the broadest sense) is carried out under this installment state.
It follows that to the concrete dress realizing Biont information processing system 200 of the present embodiment The example put illustrates.Biont information processing system 200 of the present embodiment can be example Such as server system.The example of this situation is shown in (A) of Figure 23, as the biology of server system Body information processing system 200 is connected with pulse measuring instrument 100 by network N E, surveys from this pulse Determine device 100 obtains pulse information.The wearable device (pulse measuring instrument 100) of user installation Necessary small-size light-weight, therefore, the process performance in process portion within battery and device or depositing of data Storage capacity can be subject to bigger restriction.To this, server system is less due to resource limit, and can be high The generation of the dissection process and analysis result information that carry out pulse information processes fastly, or keeps most According to (pulse information or analysis result information).
As long as further, since Biont information processing system 200 can obtain passes through pulse measuring instrument 100 pulse informations collected, therefore, are not limited only to be directly connected to pulse measuring instrument 100 Mode.Such as shown in (B) of Figure 23, can be that pulse measuring instrument 100 processes dress with other Putting 400 connections, Biont information processing system 200 is by network N E with this processing means 400 even The mode connect.As processing means 400 in this case, it may be considered that such as install pulse measuring The mobile communication terminals such as the smart mobile phone that the user of device 100 is used.And, pulse measuring instrument 100 and the connection of processing means 400, it is possible to use the connected mode as network N E, it is possible to To utilize the modes such as wireless near field communication.
And, Biont information processing system 200 of the present embodiment can not pass through server System, but realized by processing meanss (being mobile communication terminal for narrow sense) such as smart mobile phones. In this case configuration example is shown in (C) of Figure 23.The mobile communication terminals such as smart mobile phone and server System is compared, and is often restricted in process performance and storage performance, battery capacity, but considers Performance is improved in recent years, it is also possible to guarantee enough process performances etc..Therefore, as long as place can be met The requirements such as rationality energy, as shown in (C) of Figure 23, can be using smart mobile phone etc. as present embodiment The Biont information processing system 200 related to.
Furthermore, when the raising of terminal capabilities or Land use systems, pulse Determinator 100 includes this enforcement of Biont information processing system 200 of the present embodiment Mode is also without negating.In this case, obtaining section 210 will receive (acquirement) from same device The information of interior pulse transducer 110.Process when pulse measuring instrument 100 is equipped with Biont information During system 200, in this Biont information processing system 200, to the data with a large number of users as object The requirement of parsing, preservation etc. is low, as long as to use one or a few users of pulse measuring instrument 100 For object.That is, even if the process performance etc. of pulse measuring instrument 100, the most fully examine Consider to meeting the probability that user requires.
It is to say, the method for present embodiment be applicable to include to obtain pulse information obtaining section 210, The dissection process carrying out pulse information the process portion 230 generating analysis result information and output institute Biological information processing unit (the Biont information solution of the output unit 250 of the analysis result information generated Analysis apparatus, biological information measurement device, bioinformation detecting device).As it has been described above, it is biological The process portion 230 of body information processor is aobvious during the cacosphyxia that will detect based on dissection process The while of being shown as discernible, generate for showing the action message of user, mental status information, outside The analysis result information of at least one in environmental information and position information.
In other words, the method for present embodiment is applicable to the analysis result information including receiving pulse information Acceptance division, the process portion 230 that processes of the display of analysis result information that is received and display Termination (biological information processing unit, the Biont information solution of the display part of analysis result information Analysis apparatus, biological information measurement device, bioinformation detecting device).Then, process portion 230 Carry out showing that the display of the first picture of analysis result information processes, when the instruction that user is given After operation, carry out showing the display of the second picture of prime information that the generation of analysis result information used Process.
And, it is explained above by server system, processing means 400, pulse measuring instrument 100 In a device realize the mode of Biont information processing system 200, but be not limited only to this.Example Process such as, the acquirement of pulse information, the dissection process of pulse information, the generation of analysis result information and Output is processed to be processed by the dispersion of multiple devices and realizes.Specifically, can be by clothes At least two device in business device system, processing means 400, pulse measuring instrument 100 comes Realize Biont information processing system 200.Or, as Figure 16 go out showing device 300, permissible Carried out the part process of Biont information processing system 200 by other device, present embodiment relates to Biont information processing system 200 can be realized by various devices (or combination of device).
And, the Biont information processing system of present embodiment and termination etc., the one of its process Partially or mostly can also be realized by program.In this case, by by processors such as CPU Execution program, it is possible to achieve the Biont information processing system of present embodiment and termination etc..Tool For body, read the program of storage in the information-storing device of non-provisional, and by processors such as CPU Perform the program read.Here, information-storing device (device that can be read by computer) is The device of storage program and data etc., its function can pass through CD (DVD, CD etc.), HDD (hard disk drive) or memorizer (card type memory, ROM etc.) etc. realize.Further, The processors such as CPU, based on the program (data) being stored in information-storing device, carry out this embodiment party The various process of formula.That is, in information-storing device, storage has to be made as each portion of present embodiment The program that computer (possessing operating portion, process portion, storage part, the device of output unit) plays a role (for making the program of the process in each portion of computer execution).
Thereby, it is possible to realized the process of present embodiment by program.Program can be such as by intelligence The program that the process portion (such as DSP) of equipment as mobile phone etc. read and perform.
And, the Biont information processing system of present embodiment and termination etc. can include processing Device and memorizer.Here processor, can be such as CPU (Central Processing Unit, Central processing unit).But, processor is not limited only to CPU, it is possible to use GPU (Central Processing Unit, graphic process unit) or DSP (Digital Signal Processor, numeral letter Number processor) etc. various processors.Processor can also be based on ASIC (special IC) Hardware circuit.Memorizer is the device of the order that the available computer of storage reads, by by processing Device performs this order, it is possible to realize Biont information processing system of the present embodiment and terminal dress Each portion such as put.Here memorizer can be SRAM (Static Random Access Memory, Static RAM), DRAM (Dynamic Random Access Memory, dynamically Random access storage device) etc. semiconductor memory, it is also possible to be buffer and hard disk etc..Additionally, this In order, can be the order of the instruction set of configuration program, it is also possible to be the hardware to processor electricity The order of road instruction operation.
And, the pulse measuring instrument being contained on user can be by pulse transducer and by wireless Or wire transmission is from the communication unit composition of the pulse transducer signal of pulse transducer.This situation Under, the program of present embodiment is arranged independent of beyond pulse measuring instrument, by from above-mentioned communication unit The process portion (such as CPU) etc. receiving the Biont information processing system of pulse transducer signal reads And perform.This Biont information processing system can assume that the system that the user of PC etc. will not install, Can also assume that the user of smart mobile phone etc. can install the system of (carrying).In addition it is also possible to will Server systems by network connections such as Internets etc. are as Biont information processing system.
In pulse measuring instrument and the feelings that Biont information processing system is separate unit of the program of execution Under condition, optional position can be arranged on for being presented to the display part of user's analysis result information etc..Example As, may be displayed on the display part of Biont information processing system, it is also possible on pulse measuring instrument Display part is set, to show the information of beating that Biont information processing system is exported.And, it is possible to (such as Biont information processing system, use server system former using display at distinct device Meaning client terminal device etc.) display part on.
And, the method for present embodiment can carry out obtaining the process of pulse information, and carries out arteries and veins The dissection process of information of fighting, is shown as recognizable during the cacosphyxia that will detect based on dissection process While, it is adaptable to generate in order to show the action message of user, mental status information, external environment condition The life of the analysis result information of the analysis result information of at least one in information and position information One-tenth method (manufacture method of analysis result information).
By utilizing this generation method (manufacture method), it is possible to show in the way of the most understandable Because of display pulse abnormal during and by the period of doubtful arrhythmia, meanwhile, by this arrhythmia of discriminating The information of the clue of main cause with associate and be presented to reviewer (doctor) during cacosphyxia.
It addition, as it has been described above, present embodiment has been described in detail, but people in the art As long as member is it is understood that without materially departing from the new item of the present invention and effect, the present invention can have very Shape changeable.Therefore, such variation is entirely included in the scope of the present invention.Such as, in explanation In book or drawing, the term described together with more broadly or synonymous different terms at least once, At description or drawing Anywhere, all can exchange by terms different from this.Additionally, Biont information The composition of processing system etc., action are also not limited to description in present embodiment, can carry out Various deformation.

Claims (30)

1. a Biont information processing system, it is characterised in that including:
Obtaining section, obtains pulse information;
Process portion, carries out the dissection process of described pulse information, generates analysis result information;
And
Output unit, the described analysis result information that output generates,
Described process portion generates for detecting based on described dissection process can show with identifying Cacosphyxia during while show the action message of user, mental status information, outside The described analysis result information of at least one in environmental information and location message.
Biont information processing system the most according to claim 1, it is characterised in that
Described process portion generates and is used for showing that the described user of expression is sleep state or clear-headed shape The described analysis result information of the most described action message of information of state.
Biont information processing system the most according to claim 2, it is characterised in that
Described process portion generates and the display of described action message is judged adrenergic type as being used for Whether arrhythmia or parasympathetic nervous type arrhythmia show effect during described cacosphyxia The described analysis result information of information.
Biont information processing system the most according to any one of claim 1 to 3, its feature It is,
Described process portion generates stress the most described mental status of information for show described user The described analysis result information of information.
Biont information processing system the most according to claim 4, it is characterised in that
Described process portion generates for the display of described mental status information being answered as being used for judgement Swash will because of the described parsing of information that whether shows effect during described cacosphyxia of arrhythmia Object information.
Biont information processing system the most according to any one of claim 1 to 5, its feature It is,
Described process portion generated for displays temperature information, pressure information, outer optical information and week Enclose the described analysis result of the most described external environmental information of at least one information in acoustic information Information.
Biont information processing system the most according to claim 6, it is characterised in that
Described process portion generates for showing described external environmental information as judging by which kind of External environment condition is the information whether arrhythmia of main cause shows effect during described cacosphyxia Described analysis result information,
Described external environmental information includes the described temperature of the arrhythmia for judging temperature main cause Degree information, for judge air pressure main cause arrhythmia described pressure information, for judging The described outer optical information of the arrhythmia of outer smooth main cause and be used for judging ambient sound main cause Arrhythmia described ambient sound information at least one information.
8. according to the Biont information processing system described in claim 6 or 7, it is characterised in that
Described temperature information is the temperature difference between shell temperature and the outside air temperature of described user Information.
Biont information processing system the most according to any one of claim 1 to 8, its feature It is,
Described process portion generates the pulse wave for showing in during mensuration, pulse spacing wave At least one information in shape and pulse information spaced apart is as analysis result information.
Biont information processing system the most according to claim 9, it is characterised in that
Described process portion generates the survey of described pulse information interior during showing described mensuration The information of fixed reliability index is as described analysis result information.
11. Biont information processing systems according to any one of claim 1 to 10, its feature It is,
Described process portion generates and represents display object during described cacosphyxia for showing Information is as described analysis result information.
12. Biont information processing systems according to any one of claim 1 to 10, its feature It is,
Described process portion generates for showing described cacosphyxia with different image display status The information of the period beyond during period and described cacosphyxia is believed as described analysis result Breath.
13. according to the Biont information processing system according to any one of claim 1 to 12, its feature It is,
What the generation of described process portion was used in showing during described cacosphyxia gives interval The second analysis result information of at least one party in pulse wave and pulse interval waveform.
14. 1 kinds of Biont information processing systems, it is characterised in that including:
Obtaining section, obtains pulse information;
Process portion, carries out the dissection process of described pulse information, generates analysis result information;
And
Display process portion, the display carrying out described analysis result information processes,
Described display process portion carries out showing the display of the first picture of described analysis result information Process, in the case of the instruction operation that user is given, carry out showing described parsing The described display of the second picture of the prime information that the generation of object information is used processes.
15. Biont information processing systems according to claim 14, it is characterised in that
Described display process portion
At described first picture, as described analysis result information, carry out showing with identifying Described display during being circulated the cacosphyxia of the abnormal judgement of system processes,
At described second picture, carry out the display pulse interval information institute as described prime information State display to process.
16. Biont information processing systems according to claim 15, it is characterised in that
Described display process portion is in the described cacosphyxia shown expression at described first picture In the case of the display object of period has carried out the described instruction operation given by described user,
Carry out showing described pulse interval information during described cacosphyxia at described second picture Described display processes.
17. Biont information processing systems according to claim 16, it is characterised in that
Described display process portion is in the described cacosphyxia shown expression at described first picture The described display object of period has carried out the situation of the described instruction operation given by described user Under, carry out described second picture show during described cacosphyxia give interval corresponding Described pulse interval information described display process.
18. Biont information processing systems according to claim 17, it is characterised in that
Described process portion reliability based on pulses measure gives interval described in determining.
19. according to the Biont information processing system according to any one of claim 15 to 18, and it is special Levy and be,
Described process portion generates during show described cacosphyxia by different way and described The information of the period beyond during cacosphyxia i.e. pulse normal period is as described analysis result Information.
20. according to the Biont information processing system according to any one of claim 15 to 19, and it is special Levy and be,
The exception of described blood circulation is arrhythmia.
21. according to the Biont information processing system according to any one of claim 14 to 20, and it is special Levy and be,
Described display process portion
As described analysis result information, carry out to try to achieve based on the body movement information of described user The index of reliability of pulse measuring show that the described display at described first picture processes,
As described prime information, carry out showing at described second picture described body movement information Described display processes.
22. according to the Biont information processing system according to any one of claim 14 to 21, and it is special Levy and be,
Described display process portion
As described analysis result information, carry out showing Pulse Rate information and draw described first The described display in face processes,
As described prime information, carry out showing at described second picture pulse wave information Described display processes.
23. according to the Biont information processing system according to any one of claim 14 to 22, and it is special Levy and be,
The described instruction operation given includes the clicking operation for described first picture, touch Operate, touch in operation, reduction operation, amplifieroperation, rolling operation and slide At least one operation.
24. according to the Biont information processing system according to any one of claim 14 to 23, and it is special Levy and be,
Described display process portion carries out showing total Pulse Rate of every day, the average arteries and veins of every day Fight number, the atrial fibrillation morbidity total ascent time ratio relative to the review time, the heart of every day Atrial fibrillation move morbidity the total ascent time, every day atrial fibrillation morbidity the total ascent time relative to described There is at least in ratio in ratio and the atrial fibrillation of appointment time period of review time The described display of individual information processes.
25. according to the Biont information processing system according to any one of claim 14 to 24, and it is special Levy and be,
Described display process portion carry out whole inspection during described analysis result information or rule Described analysis result information between Ding Qi shows that the described display at described first picture processes.
26. according to the Biont information processing system according to any one of claim 14 to 25, and it is special Levy and be,
The operation when described user feels cacosphyxia of the described display process portion is detected Described first picture corresponding to timing position on show labelling.
27. 1 kinds of biological information processing units, it is characterised in that including:
Obtaining section, obtains pulse information;
Process portion, carries out the dissection process of described pulse information, generates analysis result information;
And
Output unit, the described analysis result information that output generates,
Described process portion generates for detecting based on described dissection process can show with identifying Cacosphyxia during while show the action message of user, mental status information, outside The described analysis result information of at least one in environmental information and location message.
28. 1 kinds of termination, it is characterised in that including:
Acceptance division, receives the analysis result information of pulse information;
Process portion, the display of the described analysis result information being received processes;And
Display part, shows described analysis result information,
Described process portion carries out showing at the display of the first picture of described analysis result information Reason, in the case of the instruction operation that user is given, carries out showing that described parsing is tied The described display of the second picture of the prime information that really generation of information is used processes.
The generation method of 29. 1 kinds of analysis result information, it is characterised in that including:
Carry out obtaining the process of pulse information;And
Carry out the dissection process of described pulse information, generate for can show with identifying based on Show while during the cacosphyxia that described dissection process detects user action message, The parsing of at least one knot in mental status information, external environmental information and location message Really information.
30. 1 kinds of Biont information processing methods, it is characterised in that including:
Obtain pulse information;
Carry out the dissection process of described pulse information, carry out generating the process of analysis result information;
Carry out showing that the display of the first picture of the described analysis result information generated processes;
And
In the case of the instruction operation that user is given, carry out showing that described parsing is tied The described display of the second picture of the prime information that really generation of information is used processes.
CN201610237796.1A 2015-04-17 2016-04-15 Biological information processing system, biological information processing device, terminal device, method for generating analysis result information, and biological information processing method Pending CN106037702A (en)

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